Individual
RICHARD F. RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-7992
(920) 431-0333
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-7992
(920) 431-0333
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2677-57
WI
103T00000X
Psychologist
Primary
2677-057
WI
Other
Enumeration date
04/13/2006
Last updated
03/25/2014
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