IndividualActive
Brendan Ryan, MS, LPP, BCBA
NPI 1063542173 · Psychologist · Louisville, KY
Provider details
- NPI number
- 1063542173
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MS, LPP, BCBA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0099 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8901 Provincetown Pl
Louisville, KY 40242-6907
Phone: (815) 325-4648
Fax: (866) 373-0972
Approximate (ZIP-level) locationGet directions
Mailing address
1169 Eastern Pkwy
Louisville, KY 40217-1417
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2016-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.