Provider Demographics
NPI:1275412462
Name:SPALL, BARBARA RYAN
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:RYAN
Last Name:SPALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:RYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6033 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-2042
Mailing Address - Country:US
Mailing Address - Phone:630-276-8258
Mailing Address - Fax:
Practice Address - Street 1:6033 GRAND AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-2042
Practice Address - Country:US
Practice Address - Phone:630-276-8258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health