MEDICARE: DR. MARY GRACE RYDER PH.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
1	103TC2200X	Clinical Child & Adolescent Psychologist	PS008169L	PA

General Provider Information

NPI Number	:	1487860052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY GRACE RYDER PH.D.

Provider Business Mailing Address
First Line	:	1714A BAINBRIDGE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1928
Country	:	US
Telephone Number	:	215-985-1038
Fax Number	:

Provider Business Practice Location Address
First Line	:	1823 CALLOWHILL ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-4109
Country	:	US
Telephone Number	:	215-496-0707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1821292053 — KIM MEREDITH
Practice Location Address:

1823 CALLOWHILL ST
PHILADELPHIA, PA
19130-4109

Practice Phone: 212-496-0707
Practice Fax: 215-496-0742

1013116870 — SUSAN MARY STIMMELL L.P.C.
Practice Location Address:

1823 CALLOWHILL ST
PHILADELPHIA, PA
19130-4109

Practice Phone: 215-496-0707
Practice Fax: 215-627-9042

1588633804 — NIKKI LANG M.D,
Practice Location Address:

634 PINE ST
PHILADELPHIA, PA
19106-4109

Practice Phone: 215-627-1300
Practice Fax: 215-925-2126

1902850720 — AMY ORLOFF, D.O. AND ASSOCIATES, P.C.
Practice Location Address:

634 PINE ST
PHILADELPHIA, PA
19106-4109

Practice Phone: 215-627-1300
Practice Fax: 215-925-2126

1053477604 — DR. MARC SANDLER DDS
Practice Location Address:

7675 BUSTLETON AVE
PHILADELPHIA, PA
19152-4109

Practice Phone: 215-338-3336
Practice Fax: 215-338-7340

1699169425 — NADIA AWAIS LPC, LCADC
Practice Location Address:

2326 GREENWICH ST
PHILADELPHIA, PA
19146-4109

Practice Phone: 732-853-5705
Practice Fax:

Directions to “ DR. MARY GRACE RYDER PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.