Provider Demographics
NPI:1144920877
Name:HESTER, RYAN (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:HESTER
Suffix:
Gender:M
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 FENCE LINE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2305
Mailing Address - Country:US
Mailing Address - Phone:512-922-0615
Mailing Address - Fax:
Practice Address - Street 1:9430 RESEARCH BLVD STE 140
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6586
Practice Address - Country:US
Practice Address - Phone:512-919-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204982106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist