DR. MARY MARLENE RYAN PH.D. NPI 1942340757

NPI Information

NPI: 1942340757
Provider Name: DR. MARY MARLENE RYAN, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
530 OAK ST
SYRACUSE, NY
ZIP 13203
Phone: (315) 478-5890
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DR. Mary Marlene Ryan, PH.D. is a cognitive and behavioral psychologist in Syracuse, NY with 42 years of experience. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Mary Marlene Ryan, PH.D. NPI is 1942340757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

530 OAK ST
SYRACUSE, NY
ZIP 13203-652
Phone: (315) 478-5890

The NPI 1942340757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

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	103TB0200X	Psychologist	Cognitive & Behavioral	08755-1	NEW YORK	Yes
2	103TC0700X	Psychologist	Clinical	08755-1	NEW YORK	X
3	103TC2200X	Psychologist	Clinical Child & Adolescent	08755-1	NEW YORK	X
4	103T00000X	Psychologist		08755-1	NEW YORK	X

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: 4/28/2024

NPI Synchronization or Removal

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