Individual
DR. MARY MARLENE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
08755-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
08755-1
NY
103TC0700X
Clinical Psychologist
08755-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
08755-1
NY
Other
Enumeration date
02/08/2007
Last updated
09/11/2025
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