Provider Demographics
NPI:1013906056
Name:BRNICH-RYAN, MARGARET ANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANNE
Last Name:BRNICH-RYAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 TULPEHOCKEN AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1926
Mailing Address - Country:US
Mailing Address - Phone:215-885-3487
Mailing Address - Fax:
Practice Address - Street 1:1240 S BROAD ST
Practice Address - Street 2:SUITE 220
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5395
Practice Address - Country:US
Practice Address - Phone:215-699-3901
Practice Address - Fax:215-699-3909
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000033101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional