Ryan, Randy Lynn
Ryan, Randy Lynn is an individual health care provider with primary practice located at 8823 S Redwood Rd Suite B Basement, West Jordan UT 84088-9281. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryan, Randy Lynn can be contacted via phone (801) 913-0098.Contact Information
Primary practice address
8823 S Redwood Rd Suite B Basement
West Jordan UT 84088-9281
Phone: (801) 913-0098
Fax: (801) 272-3857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6390681-2501 | Utah |
Profile Details
| NPI number | 1578893129 |
|---|---|
| LBN Legal business name | Ryan, Randy Lynn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2010 |
| Last updated | Mar 16th, 2010 - about 14 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578893129 | NPPES |
| Utah | Other | 000068519 | MEDICARE PTAN |
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