Ryan Edward Holt, PHD - Psychologist in Southlake, TX

Ryan Edward Holt, PHD is a Psychologist based in Southlake, Texas. Ryan Edward Holt is licensed to practice in Texas (license number 38271) and his current practice location is 1723 E Southlake Blvd Ste 200, Southlake, Texas. He can be reached at his office (for appointments etc.) via phone at (682) 292-7012.

NPI number for Ryan Edward Holt is 1083363626 and his current mailing address is 16173 Fairview Ave, Fontana, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083363626.

Contact Information

Ryan Edward Holt, PHD
1723 E Southlake Blvd Ste 200,
Southlake, TX 76092-6445
(682) 292-7012
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRyan Edward Holt
GenderMale
SpecialityPsychologist
Location1723 E Southlake Blvd Ste 200, Southlake, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083363626
  • Provider Enumeration Date: 03/21/2022
  • Last Update Date: 03/21/2022

Medical Identifiers

Medical identifiers for Ryan Edward Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083363626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 32870 (California)Secondary
103T00000XPsychologist 38271 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Edward Holt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Edward Holt, PHD
16173 Fairview Ave,
Fontana, CA 92336-2485

Ph: () -
Ryan Edward Holt, PHD
1723 E Southlake Blvd Ste 200,
Southlake, TX 76092-6445

Ph: (682) 292-7012

Reviews and Comments


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