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Individual

DR. RYAN R LANDOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-6199
Mailing address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-6199

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004814
VA

Other

Enumeration date
10/03/2012
Last updated
03/26/2024
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