Individual
DR. RYAN MAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2008030679
MO
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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