Individual
RYAN CHRISTOPHER ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-8354
Mailing address
3500 POTOMAC LN, LINCOLN, NE 68516-5452
(402) 318-6340
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
089968
IA
103G00000X
Clinical Neuropsychologist
750
NE
103TC0700X
Clinical Psychologist
750
NE
103TP0016X
Prescribing (Medical) Psychologist
Primary
CPC0001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079871726,27,29
—
NE
01
—
96097
BCBS
NE
Enumeration date
04/21/2009
Last updated
04/28/2023
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