MEDICARE: MR. RYAN MULDOON LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	118019	TX

General Provider Information

NPI Number	:	1407701303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RYAN MULDOON LMSW

Provider Business Mailing Address
First Line	:	2440 PEBBLEBROOK CT
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-8339
Country	:	US
Telephone Number	:	574-406-5062
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 N CENTRAL EXPY STE 670
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3158
Country	:	US
Telephone Number	:	972-345-9703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

Similar Medicare Providers

1386053130 — JAMARRI RAMON AIKINS PHD, LP
Practice Location Address:

4040 N CENTRAL EXPY # 670
DALLAS, TX
75204-3158

Practice Phone: 972-813-9736
Practice Fax:

1578032801 — AMANDA STRETCHER
Practice Location Address:

4040 N CENTRAL EXPY STE 670
DALLAS, TX
75204-3158

Practice Phone: 214-216-1495
Practice Fax:

1083384283 — ASHLEY ELIZABETH KLEIN LPC, LCDC
Practice Location Address:

4040 N CENTRAL EXPY STE 670
DALLAS, TX
75204-3158

Practice Phone: 972-849-3466
Practice Fax:

1497599054 — MRS. SHAHEEDRA AVEONNE JOHNSON M.S., LPC
Practice Location Address:

4040 N CENTRAL EXPY STE 670
DALLAS, TX
75204-3158

Practice Phone: 469-290-4285
Practice Fax:

1326878844 — HANNAH SCHEPPS-ROUSSEL LMFT
Practice Location Address:

4040 N CENTRAL EXPY
DALLAS, TX
75204-3158

Practice Phone: 214-937-5230
Practice Fax:

1558187070 — COLIN ALPHONSO MS
Practice Location Address:

4040 N CENTRAL EXPY
DALLAS, TX
75204-3158

Practice Phone: 972-557-1617
Practice Fax:

Directions to “ MR. RYAN MULDOON LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.