RYAN DOUGLAS HEATH

CHAMPAIGN, IL
NPI1609454768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.019549)
Enumeration Date2021-03-31
Last Update Date2021-03-31
Business Address
RYAN DOUGLAS HEATH MA, Ph.D.
2705 CHERRY HILLS DR
CHAMPAIGN, IL 61822-7538
Phone number: 978-704-1768
Mailing Address
RYAN DOUGLAS HEATH MA, Ph.D.
7626 BROWN GULF RD
JAMESVILLE, NY 13078-9636
Phone number: 978-578-0014