Individual
MRS. HAILEY RAEANN RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
120 HANWORTH LN, DANIELS, WV 25832-9029
(304) 542-3544
Mailing address
1715 FOREST HILLS DR, VIENNA, WV 26105-3313
(304) 629-8986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP-2150
WV
235Z00000X
Speech-Language Pathologist
Primary
SP.15618
OH
Other
Enumeration date
07/11/2021
Last updated
09/08/2023
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