Individual
DR. RYAN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 339-7045
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00463500
NJ
103TC0700X
Clinical Psychologist
PSY203580
CA
Other
Enumeration date
02/23/2007
Last updated
11/26/2014
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