Individual
DR. RYAN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8701 SHOAL CREEK BLVD, SUITE 404, AUSTIN, TX 78757-6864
(512) 879-1836
Mailing address
8701 SHOAL CREEK BLVD, SUITE 404, AUSTIN, TX 78757-6864
(512) 879-1836
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37206
TX
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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