Provider Demographics
NPI:1710653035
Name:HINOJOSA, RYAN (PHD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:6862 ELM ST STE 450
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3838
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6862 ELM ST STE 450
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3838
Practice Address - Country:US
Practice Address - Phone:301-339-8027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist