Tamara Danielle Ryan, MA, LMFT

Individual provider Active NPI Marriage & Family Therapist · Cody, WY

NPI 1982842977 · NPPES record last updated Jan 28, 2009

Key facts

NPI
1982842977
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LMFT #129 (WY)
Practice address
2538 Big Horn Ave
Cody, WY 82414-9299
Phone
(307) 587-2197
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT #129WYMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT #129 WY Yes

Addresses

Primary practice location

2538 Big Horn Ave
Cody, WY 82414-9299

Mailing address

2538 Big Horn Ave
Cody, WY 82414-9299
Phone (307) 587-2197

Other providers in Cody, WY

All providers in Cody, WY · Marriage & Family Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.