Dr. Ryan Willard, PhD
Psychologist in Baltimore, MD. Individual provider (NPI-1).
NPI number1609613694
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1609613694
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Willard
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 07190 | MD | Yes |
Practice location
320 S Collington AveBaltimore, MD 21231-2732
Phone 240-520-4493
Mailing address
1525 Greenspring Valley RdStevenson, MD 21153-0641
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