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Individual

MS. ANNE RYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
450 LOWELL ST, IRONSTONE FARM THERAPY, ANDOVER, MA 01810-5305
(978) 475-4056
(978) 475-4046
Mailing address
450 LOWELL ST, IRONSTONE FARM THERAPY, ANDOVER, MA 01810-5305
(978) 475-4056
(978) 475-4046

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6762
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942270574
NPI GROUP
MA
01
3668706
AETNA
MA
01
478889
TUFTS INDIVIDUAL
MA
01
620733
TUFTS GROUP
MA
01
626557
HPHC
MA
01
SG0013
BCBS GROUP
MA
01
SP0153
BCBS SPEECH PATHOLOGIST
MA
Enumeration date
11/01/2006
Last updated
06/08/2010
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