Individual
DR. RYAN MCKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
530 DIVISADERO ST, SUITE 203, SAN FRANCISCO, CA 94117-2213
(415) 531-9202
Mailing address
530 DIVISADERO ST, SUITE 203, SAN FRANCISCO, CA 94117-2213
(415) 531-9202
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
22874
CA
103T00000X
Psychologist
22874
CA
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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