Rider, Kenneth L.

Rider, Kenneth L. is an sole proprietor health care provider with primary practice located at 525 South Dr Suite 207, Mountain View CA 94040-4213. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Rider, Kenneth L. can be contacted via phone (650) 988-0900.

Contact Information

Primary practice address
525 South Dr Suite 207 Mountain View CA 94040-4213
Phone: (650) 988-0900
Fax: (650) 948-1837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY19767 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19767 California

Profile Details

NPI number 1518960061
LBN Legal business name Rider, Kenneth L.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Feb 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518960061 NPPES
California Other 51043 NATIONAL REGISTER OF HEALTH CARE PSYCHOLOGISTS
California Other 109582 NATIONAL REGISTER OF HEALTH CARE PSYCHOLOGISTS

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