Provider Demographics
NPI:1841314226
Name:RYAN, FRAN PEEK (PHD PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:FRAN
Middle Name:PEEK
Last Name:RYAN
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGIST
Other - Prefix:DR
Other - First Name:FRANCI
Other - Middle Name:JEAN
Other - Last Name:RYAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4804 TERRACE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112
Mailing Address - Country:US
Mailing Address - Phone:816-444-1822
Mailing Address - Fax:816-444-1881
Practice Address - Street 1:8080 WARD PARKWAY
Practice Address - Street 2:#211
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2020
Practice Address - Country:US
Practice Address - Phone:816-304-5085
Practice Address - Fax:816-444-1881
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01723103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0002959Medicare ID - Type Unspecified