Provider Demographics
NPI:1821548900
Name:LANGSON, RYAN (BC-HIS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:LANGSON
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8935 S PECOS RD STE 21A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7155
Mailing Address - Country:US
Mailing Address - Phone:702-456-1110
Mailing Address - Fax:
Practice Address - Street 1:8935 S PECOS RD STE 21A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7155
Practice Address - Country:US
Practice Address - Phone:702-456-1110
Practice Address - Fax:024-561-1107
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVHAS-379237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist