Individual
RYAN D JAARSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301010784
MI
103T00000X
Psychologist
Primary
PSY.0005215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C946390
BC/BS
MI
Enumeration date
06/24/2006
Last updated
02/09/2021
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