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NPI Code Detail

MEDICARE: DR. PATRICIA RYDING PAY.D

MEDICARE:  DR. PATRICIA  RYDING  PAY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPY5847FL

General Provider Information

NPI Number : 1457876393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA RYDING PAY.D
Provider Business Mailing Address
First Line : 1920 NEWMARK CIR SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32968-6711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2180 10TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5399
Country : US
Telephone Number : 772-567-5166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “ DR. PATRICIA RYDING PAY.D” Practice Location

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