Individual
DR. JAN KATHLEEN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12830 HILLCREST RD, SUITE D218, DALLAS, TX 75230-1527
(469) 791-9100
(469) 791-9200
Mailing address
12830 HILLCREST RD, SUITE D218, DALLAS, TX 75230-1527
(469) 791-9100
(469) 791-9200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25119
TX
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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