Mark S Rider, PHD

NPI #1336156975 in Southlake, Texas

Provider Information

NPI Number
1336156975
Entity Type
Individual
Name
Mark S Rider, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Aug 2, 2006
Last Updated
Jun 8, 2009

Practice Location

Address
558 SILICON DR
Address 2
#102
State
Texas
ZIP Code
76092-7529
Phone
(817) 442-1707

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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