Individual
DR. MARY GRACE RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1823 CALLOWHILL ST, PHILADELPHIA, PA 19130-4109
(215) 496-0707
Mailing address
1714A BAINBRIDGE ST, PHILADELPHIA, PA 19146-1928
(215) 985-1038
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS008169L
PA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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