MARK RIDER, PHD
Psychologist - Clinical
Active
Individual
NPI: 1336156975
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 24516 (TX) |
Frequently Asked Questions
NPI 1336156975 is the National Provider Identifier for MARK RIDER, PHD, a Psychologist - Clinical provider located in Southlake, TX. This NPI was enumerated on August 2, 2006.
MARK RIDER, PHD practices at 558 SILICON DR, #102, Southlake, TX 76092.
Quick Facts
- NPI
- 1336156975
- Type
- Individual
- Enumerated
- Aug 2, 2006
- Last Updated
- Jun 8, 2009
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