GLEN W RYSWYK MDIV LPC LMFT NPI 1598778920

NPI Information

NPI: 1598778920
Provider Name: GLEN W RYSWYK, MDIV LPC LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5002 SW LEE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 531-4512
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Glen W Ryswyk, MDIV LPC LMFT is a mental health counselor in Lawton, OK. Glen W Ryswyk, MDIV LPC LMFT NPI is 1598778920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5002 SW LEE BLVD
LAWTON, OK
ZIP 73505-320
Phone: (580) 531-4512
Fax: (580) 531-4519

The enumeration date for this NPI number is 8/15/2006 and was last updated on 9/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		717	OKLAHOMA	No
2	101YM0800X	Counselor	Mental Health	577	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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