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Individual

DR. RYAN FLETCHER BIRCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D., M.A.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TE1100X
Exercise & Sports Psychologist
103TF0000X
Family Psychologist
103TF0200X
Forensic Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP0814X
Psychoanalysis Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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