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Individual

LOUISE RYDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1648 ELLIS ST STE 302, BOZEMAN, MT 59715-8811
(406) 600-3662
Mailing address
1648 ELLIS ST STE 302, BOZEMAN, MT 59715-8811
(406) 600-3662

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-PSY-LIC-1048
MT

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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