Individual
RYAN MICHAEL ITZCOVICH SCHUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4106 RIDGEWOOD AVE, BELLINGHAM, WA 98229-2535
(213) 259-3156
Mailing address
4106 RIDGEWOOD AVE, BELLINGHAM, WA 98229-2535
(213) 259-3156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
29137
CA
103TC0700X
Clinical Psychologist
Primary
61117866
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY29137
PSYCHOLOGIST LICENSE
CA
Enumeration date
08/04/2011
Last updated
10/14/2022
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