Individual provider · Type 1 NPI
Mark Anthony Ryan, LPA
Intellectual & Developmental Disabilities Psychologist · Fort Worth, TX
NPI number
1417746413
Active
Practice location
3504 Primrose Ave
Fort Worth, TX 76111-4945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 34184 (TX) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 34184 (TX) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1417746413
Mark Anthony Ryan, LPA's National Provider Identifier is 1417746413, issued on May 5, 2025. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Fort Worth, TX. The record was last updated on May 5, 2025.