Provider Demographics
NPI:1548550288
Name:HEPLER, RYAN RICHARD (MA)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:RICHARD
Last Name:HEPLER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9007 MAIN ST
Mailing Address - Street 2:UNIT 4
Mailing Address - City:MC KEAN
Mailing Address - State:PA
Mailing Address - Zip Code:16426-1457
Mailing Address - Country:US
Mailing Address - Phone:814-671-9384
Mailing Address - Fax:814-314-8106
Practice Address - Street 1:898 PARK AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3335
Practice Address - Country:US
Practice Address - Phone:814-807-1202
Practice Address - Fax:866-303-0132
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health