Individual provider · Type 1 NPI

Ryan Thomas Blucker

Health Service Psychologist · Oklahoma City, OK

NPI number 1720302003 Active

Practice location

1200 Childrens Ave
Oklahoma City, OK 73104

Mailing address

1100 NE 13th St
Oklahoma City, OK 73117-1039

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X1188 (OK)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1720302003

Ryan Thomas Blucker's National Provider Identifier is 1720302003, issued on Mar 16, 2010. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 27, 2018.