Brent G. Ryder is a Psychologist in Las Vegas, Nevada. Brent G. Ryder practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brent G. Ryder is 1083860746. The last update date is 2014-05-14.
Brent G. Ryder's current location address is 500 N Rainbow Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7023503194 and fax number 7022211901. The mailing address for Brent G. Ryder is 500 N Rainbow Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent G. Ryder |
|---|---|
| Address | 500 N Rainbow Blvd, Las Vegas, Nevada |
| Phone Number | 7023503194 |
| Fax Number | 7022211901 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1083860746 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2014-05-14 |
Provider Mailing Address Detail
| Address | 500 N Rainbow Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891071061 |
| Phone Number | 7023503194 |
| Fax Number | 7022211901 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY0656 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PY0656 | NV | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brent G. Ryder by the Centers for Medicare & Medicaid Services?
The Brent G. Ryder has been issued the NPI (National Provider Identifier) 1083860746 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Brent G. Ryder?
The Brent G. Ryder is situated at 500 N Rainbow Blvd, in the city of Las Vegas, state of NV, with the zip code 891071061.
What is Brent G. Ryder's area of expertise and its corresponding taxonomy classification?
The Brent G. Ryder's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Brent G. Ryder receive its 1083860746 assignment from the Centers for Medicare & Medicaid Services?
The Brent G. Ryder was assigned its 1083860746 by the Centers for Medicare & Medicaid Services on 2008-08-13.
As of what date were the details pertaining to Brent G. Ryder last refreshed?
The information related to the Brent G. Ryder, including its address, specialty, and other relevant details, was last updated on 2014-05-14.