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NPI Code Detail

MEDICARE: REBECCA L RYDER MA,LPCC-S,NCC

MEDICARE: REBECCA L RYDER MA,LPCC-S,NCC
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
1101YP2500XProfessional CounselorE0700866OH

General Provider Information

NPI Number : 1912148503
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA L RYDER MA,LPCC-S,NCC
Provider Business Mailing Address
First Line : 3730 TABS DR
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-9562
Country : US
Telephone Number : 330-241-9745
Fax Number :
Provider Business Practice Location Address
First Line : 3730 TABS DR
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-9562
Country : US
Telephone Number : 330-241-9745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2009
Last Update Date : 08/27/2024

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