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RYAN MANGUM, PHD
PHD
Clinical Neuropsychologist
NPI: 1790311157IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical NeuropsychologistPrimary
Clinical Neuropsychologist
Code: 103G00000X
PY61070460(WA)PSY-203778(ID)
Clinical Psychologist
Psychologist — Clinical
Code: 103TC0700X
6301018219(MI)PY61070460(WA)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2018
Contact & Hours
Via practice · 2 locations total
- Address
- 600 N ROBBINS RD
BOISE, ID 83702 - Phone
- (208) 381-9037
Quick Facts
- NPI
- 1790311157
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 2
- Years in Practice
- 8
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