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Individual

MRS. LYNDA C RYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
70 MINNESOTA AVE, WARWICK, RI 02888-6011
(401) 738-0685
Mailing address
40 FOREST AVE, RIVERSIDE, RI 02915-1736
(401) 433-0265

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00164
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26496-9
BLUE CROSS
RI
01
410083
BLUE CHIP
RI
05
LM47193
RI
Enumeration date
08/05/2006
Last updated
07/09/2007
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