Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Anthony Ryan, LPA

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1417746413

Mark Anthony Ryan, LPA is an Intellectual & Developmental Disabilities Psychologist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3504 Primrose Ave
Fort Worth, TX 76111-4945
Phone: (817) 726-7504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence 34184 (TX)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 34184 (TX)

Record details

NPI number1417746413
Entity typeIndividual (Type 1)
GenderMale
Credentials LPA
Sole proprietorYes
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025