Healthcare Provider Details

I. General information

NPI: 1710179775
Provider Name (Legal Business Name): GAIL J RYMER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 JOE SKINNER RD 51
BELPRE OH
45714-9488
US

IV. Provider business mailing address

PO BOX 373
BELPRE OH
45714-0373
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-4743
  • Fax: 740-423-4248
Mailing address:
  • Phone: 740-423-4743
  • Fax: 740-423-4248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number477
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: