Mangum, Ryan

Mangum, Ryan is an individual health care provider with primary practice located at 600 N Robbins Rd , Boise ID 83702-4565. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mangum, Ryan can be contacted via phone (208) 381-9037.

Contact Information

Primary practice address
600 N Robbins Rd Boise ID 83702-4565
Phone: (208) 381-9037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY61070460 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301018219 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY61070460 Washington
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY-203778 Idaho

Profile Details

NPI number 1790311157
LBN Legal business name Mangum, Ryan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2020
Last updated Mar 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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