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

Ryan Keough

Individual provider Marriage & Family Therapist · NPI 1104561646

Ryan Keough is a Marriage & Family Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022

Practice location Address checks out

7901 Bustleton Ave Ste 300
Philadelphia, PA 19152-3330
Phone: (215) 537-5367
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MF001009 (PA)

Record details

NPI number1104561646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2022
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

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