Organization
AEROSPACE NEUROPSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN R GREEN PH.D., ABPP (MANAGING MEMBER)
(801) 815-5479
Entity
Organization
Contact information
Practice address
476 HERITAGE PARK BLVD STE 210, LAYTON, UT 84041-5679
(202) 615-8813
(202) 750-0425
Mailing address
476 HERITAGE PARK BLVD STE 210, LAYTON, UT 84041-5679
(202) 615-8813
(202) 750-0425
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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