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RYAN CHRISTOPHER ERNST PSY.D.

Clinical Neuropsychologist

Grand Island, Nebraska

Provider NPI: 1811131840

Provider Information:
 RYAN CHRISTOPHER ERNST PSY.D.
Gender: M
Not Sole Proprietor

Practice Location:
1917 W FAIDLEY AVE  GRAND ISLAND, NE 68803 US
Tel: 308-698-0350  Fax: --

Business Mailing Address:
3500 POTOMAC LN  LINCOLN, NE 68516 US
Tel: 402-318-6340  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IA089968
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
NE750
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NE750

Other Provider Identifiers:

IssuerNumberStateType
BCBS96097NE01
47079871726,27,29NE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NE - Page 1



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