NPI age
6 years
Enumerated 2020-03-18
● Active
Type 1 · Individual
Ryan Mangum, PHD
Mangum is 1 of 16 clinical neuropsychologist providers in Boise and 1 of 34 in Idaho.
Primary specialty
Clinical Neuropsychologist
Plus 3 subspecialties
Licensed in
ID, WA, MI
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 34 active clinical neuropsychologist providers in Idaho.
NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
3 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 50% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-03Enumerated in NPPES
2020
2026
Where they practice
Practice location
600 N Robbins Rd
Boise, ID 837024565
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2009 F St
Vancouver, WA 986633345
Specialties
-
Clinical Neuropsychologist PrimaryA clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
-
PsychologistA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
Practice context
Part of a multi-provider practice. 120 other active providers share this practice address in NPPES.
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