Most Relevant Information
Provider Data
| NPI Number: | 1003555145 |
| Provider Name: | MIKAYLA LEANN RYAN M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | COND.20221984-SP |
Most Important Dates
| Enumeration Date: | 05/27/2022 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
24 HILLSIDE DR
MILLERSBURG
OH
446541464
Practice Location Phone/Fax
| Phone: | 3309363091 |
| Fax: |
Provider Mailing Location
24 HILLSIDE DR
MILLERSBURG
OH
446541464
Provider Mailing Phone/Fax
| Phone: | 3309363091 |
| Fax: |