Provider Demographics
NPI:1477700821
Name:ALLISON, RYAN DOUGLAS (MA, NCPSYA)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:DOUGLAS
Last Name:ALLISON
Suffix:
Gender:M
Credentials:MA, NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 SHAWNEE MISSION PKWY STE 252
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2521
Mailing Address - Country:US
Mailing Address - Phone:913-636-9650
Mailing Address - Fax:
Practice Address - Street 1:4350 SHAWNEE MISSION PKWY STE 252
Practice Address - Street 2:
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205-2521
Practice Address - Country:US
Practice Address - Phone:913-636-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst