Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN MANGUM, PHD
ActiveRYAN MANGUM, PHD is a Clinical Neuropsychologist healthcare provider located in BOISE, Idaho. NPI 1790311157 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · BOISE, ID
Registration Details
- NPI Number
- 1790311157
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2020 (6.4390905536759 yrs)
- Last Updated
- Mar 29, 2023
- Licenses
-
PY61070460 (WA)6301018219 (MI)PY61070460 (WA)PSY-203778 (ID)
Practice Information
- Address
-
600 N ROBBINS RDBOISE, ID, 837024565Browse ID providers · Browse ZIP 83702
- Phone
- 2083819037
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DANAE PEREZ-CAHILL | PH.D. | 1780612986 |
| DR. HAROLD DALE PATTERSON | PH.D. | 1962414631 |
| MR. ROBERT F. CALHOUN | PHD | 1376697946 |
| CRAIG W. BEAVER | PH.D. | 1225176498 |
| DR. ELENA THERESSA HARLAN DREWEL | PH.D. | 1538490834 |
| BRIENNE M DYER | PSY.D. | 1659631562 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.