Individual provider · Type 1 NPI

Ryan William Mast, TLLP

Psychologist · Southfield, MI

NPI number 1710609896 Active

Practice location

17320 W 12 Mile Rd Ste 101
Southfield, MI 48076-2102

Call (248) 727-3456 Map

Fax (248) 557-4697

Mailing address

17320 W 12 Mile Rd
Southfield, MI 48076-2100

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6362009759 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1710609896

Ryan William Mast, TLLP's National Provider Identifier is 1710609896, issued on Sep 14, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Southfield, MI. The record was last updated on Aug 9, 2023.