Individual provider · Type 1 NPI

Ryan Michael Bottary, PSYD, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1386555969 Active

Practice location

330 Brookline Ave
Boston, MA 02215-5491

Call (781) 974-7255 Map

Mailing address

200 Brookline Ave Unit 610
Boston, MA 02215-3952

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386555969

Ryan Michael Bottary, PSYD, PhD's National Provider Identifier is 1386555969, issued on Sep 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Sep 14, 2026.