Individual
RYAN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 IDAHO AVE, HOLTON, KS 66436-1103
(785) 742-7113
Mailing address
1414 SW 16TH ST APT 305, TOPEKA, KS 66604-3460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2775
KS
Other
Enumeration date
06/29/2017
Last updated
03/17/2018
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