Individual
MRS. KIMBERLY ANN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1085 US ROUTE 4 E, SUITE 2A, RUTLAND, VT 05701-8860
(802) 775-6331
(802) 775-6373
Mailing address
1085 US ROUTE 4 E, SUITE 2A, RUTLAND, VT 05701-8860
(802) 775-6331
(802) 775-6373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047,0057915
VT
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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