Individual
DR. BRENT G. RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1061
(702) 350-3194
(702) 221-1901
Mailing address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1061
(702) 350-3194
(702) 221-1901
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0656
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY0656
LICENSE
NV
Enumeration date
08/13/2008
Last updated
05/14/2014
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