Jan Kathleen Rider in Dallas - Psychologist

Jan Kathleen Rider - NPI 1134306384

Jan Kathleen Rider is a Psychologist in Dallas, Texas. Jan Kathleen Rider practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jan Kathleen Rider is 1134306384. The last update date is 2008-01-29.

Jan Kathleen Rider's current location address is 12830 Hillcrest Rd, Dallas, Texas. You can contact this provider via phone number 4697919100 and fax number 4697919200. The mailing address for Jan Kathleen Rider is 12830 Hillcrest Rd, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jan Kathleen Rider
Address 12830 Hillcrest Rd, Dallas, Texas
Phone Number 4697919100
Fax Number 4697919200
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1134306384
Provider Enumeration Date 2008-01-29
Last Updated Date 2008-01-29

Provider Mailing Address Detail

Address 12830 Hillcrest Rd
City Dallas
State Texas (TX)
Post Code 752301527
Phone Number 4697919100
Fax Number 4697919200

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 25119
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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FAQs about Jan Kathleen Rider

What is the Jan Kathleen Rider's 1134306384?

The Jan Kathleen Rider's NPI (National Provider Identifier) Number is 1134306384. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jan Kathleen Rider's facilities are situated?

The facilities of Jan Kathleen Rider are physically located at the following address: 12830 Hillcrest Rd, Dallas, TX, 752301527.

What is the Jan Kathleen Rider's area of specialization and corresponding taxonomy classification?

The Jan Kathleen Rider's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the Jan Kathleen Rider receive the assignment of its 1134306384 from the Centers for Medicare & Medicaid Services?

The Jan Kathleen Rider was issued its 1134306384 by the Centers for Medicare & Medicaid Services on 2008-01-29.

When was the information regarding Jan Kathleen Rider, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jan Kathleen Rider, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-29.

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