Individual
DR. RYAN FRED HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1208 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 483-1600
(801) 483-1610
Mailing address
1208 EAST 3300 SOUTH, SALT LAKE CITY, UT 84106
(801) 483-1600
(801) 483-1610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
378080-2501
UT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
378080-2501
UT
103TB0200X
Cognitive & Behavioral Psychologist
378080-2501
UT
103TC0700X
Clinical Psychologist
Primary
378080-2501
UT
103TC1900X
Counseling Psychologist
378080-2501
UT
103TF0200X
Forensic Psychologist
378080-2501
UT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
378080-2501
UT
103TS0200X
School Psychologist
378080-2501
UT
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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