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General NPI Number Information
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NPI Number | 1336847458
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Entity Type | Individual
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Provider Name | RYAN F.P. ROBERTSON M.S., TLPC-MHSP, NCC
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Gender | Male
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Dates
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Enumeration Date | 02/17/2023
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1136A CAHAL AVE
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City | NASHVILLE
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State | TN
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Zip | 37206-1610
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Country | US
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Telephone | 931-223-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 1136A CAHAL AVE
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City | NASHVILLE
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State | TN
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Zip | 37206-1610
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Country | US
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Telephone | 931-223-1095
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7752
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7752
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License Number State | TN
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