Individual
DR. DYLAN RYAN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
912 W 14TH ST, TEMPE, AZ 85281-6308
(337) 692-1618
Mailing address
912 W 14TH ST, TEMPE, AZ 85281-6308
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY-005673
AZ
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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