Individual
DR. ROBERT LAWRENCE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
230 S BROAD ST STE 1005, PHILADELPHIA, PA 19102-4105
(215) 988-9911
(215) 988-9912
Mailing address
230 S BROAD ST STE 1005, PHILADELPHIA, PA 19102-4105
(215) 988-9911
(215) 988-9912
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS017874
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103062378
—
PA
Enumeration date
07/17/2015
Last updated
08/12/2026
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