Individual
JONATHAN TODD RYSER-OATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
989 GOVERNORS LN STE 140, LEXINGTON, KY 40513-1174
(859) 494-9984
Mailing address
217 STONE AVE APT B, LEXINGTON, KY 40508-2671
(669) 300-9412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
278568
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2018
Last updated
03/13/2023
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