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

Individual provider Psychologist · NPI 1710609896

Ryan William Mast, TLLP is a Psychologist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

17320 W 12 Mile Rd Ste 101
Southfield, MI 48076-2102
Phone: (248) 727-3456
Fax: (248) 557-4697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6362009759 (MI)

Record details

NPI number1710609896
Entity typeIndividual (Type 1)
GenderMale
Credentials TLLP
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

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