Ryan Lee Rana, PHD.
Individual provider Active NPI Marriage & Family Therapist · Fayetteville, AR
NPI 1114109733 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1114109733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- M0512011 (AR)
- Practice address
- 2889 N College Ave
Fayetteville, AR 72703-3413 - Phone
- (479) 871-9285
- NPI assigned
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0512074 | AR | MD | Professional Counselor |
| M0512011 | AR | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P0512074 | AR | |
| Marriage & Family Therapist | 106H00000X | M0512011 | AR | Yes |
Addresses
Primary practice location
2889 N College Ave
Fayetteville, AR 72703-3413
Mailing address
2889 N College Ave
Fayetteville, AR 72703-3413
Phone (479) 871-9285
Other providers in Fayetteville, AR
- Bailey Ralston
- Sita Ramasamy
- Jeremy Ramos
- Pamela R Ramsfield
- Rana & Fry Enterprises LLC
- Justin A Rand
- Amy J Randall
- Larissa Randall
- Shelbi L Randall
- Michael Phillip Randazza
All providers in Fayetteville, AR · Marriage & Family Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.