MARK A RYAN, LPA FORT WORTH, TX

Contact Information

MARK A RYAN, LPA

3504 PRIMROSE AVE
FORT WORTH, TX 76111-4945

Phone: 817-726-7504
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical
Cognitive & Behavioral	103TB0200X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MARK A RYAN · (Male)

NPI Number	`1417746413`
Status	Active
Credentials	LPA
Entity	Individual
Enumeration date	05/05/2025
Last updated	05/05/2025 - More than a year ago
Sole proprietor ¹	Yes
Identifiers	TX License # 34184
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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