Individual
WHIT RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
14601 DETROIT AVE, LAKEWOOD, OH 44107-4205
(216) 237-5500
Mailing address
14601 DETROIT AVE, LAKEWOOD, OH 44107-4205
(216) 237-5500
(216) 267-5525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
4575
CT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08766
OH
Other
Enumeration date
10/02/2018
Last updated
04/01/2025
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