Individual
DR. ELIZABETH RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
574 BERNE ST SE, ATLANTA, GA 30312-3528
(404) 849-7989
Mailing address
574 BERNE ST SE, ATLANTA, GA 30312-3528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2152
GA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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