Individual
MR. CASEY RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-1000
Mailing address
36 ALTA VISTA WAY, SAN RAFAEL, CA 94901-3517
(415) 465-5765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11221
CA
Other
Enumeration date
07/01/2009
Last updated
01/03/2022
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