Stacy Leigh Rider in Fort Sam Houston - Clinical
Stacy Leigh Rider - NPI 1487863130
Stacy Leigh Rider is a Clinical in Fort Sam Houston, Texas. Stacy Leigh Rider practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Leigh Rider is 1487863130. The last update date is 2007-07-08.
Stacy Leigh Rider's current location address is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109163201 and fax number 2109164040. The mailing address for Stacy Leigh Rider is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Leigh Rider |
|---|---|
| Address | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109163201 |
| Fax Number | 2109164040 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1487863130 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3851 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344501 |
| Phone Number | 2109163201 |
| Fax Number | 2109164040 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 33431 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Stacy Leigh Rider by the Centers for Medicare & Medicaid Services?
The Stacy Leigh Rider has been issued the NPI (National Provider Identifier) 1487863130. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacy Leigh Rider?
The Stacy Leigh Rider is situated at 3851 Roger Brooke Dr, in the city of Fort Sam Houston, state of TX, with the zip code 782344501.
What is the area of specialization for Stacy Leigh Rider, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Leigh Rider is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Stacy Leigh Rider receive the assignment of its 1487863130 from the Centers for Medicare & Medicaid Services?
The Stacy Leigh Rider was issued its 1487863130 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information pertaining to Stacy Leigh Rider most recently updated or revised?
The details related to Stacy Leigh Rider, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX