Provider Demographics
NPI:1609650993
Name:MYERS, RYAN (PHD, CF-SLP)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:MYERS
Suffix:
Gender:M
Credentials:PHD, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 COLORADO DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-4859
Mailing Address - Country:US
Mailing Address - Phone:937-376-2961
Mailing Address - Fax:
Practice Address - Street 1:506 DAYTON AVE
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-2657
Practice Address - Country:US
Practice Address - Phone:937-372-9201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20232389-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist