Individual ProviderMarykate RyanSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address431 Cranbury Rd, East Brunswick, NJ 08816-3698(888) 951-8687PECOS EnrollmentBased on the most recent information from CMS, provider Marykate Ryan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:53 AM.Profile DetailsProvider ID1679030589Provider TypeIndividualFull NameRyan, MarykateCredentialMAGenderFemaleSole ProprietorYesEnumeration Date2/27/2019Last Updated2/27/2019Contact InformationPractice LocationPractice Address431 Cranbury Rd, East Brunswick, NJ 08816-3698Phone(888) 951-8687FaxUnlisted FaxMailing LocationMailing Address706 Hory St, Cranford, NJ 07016-3243PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense41YS00982100New Jersey