Rider, Stefanie E

Rider, Stefanie E is an individual health care provider with primary practice located at 5927 Montgomery Rd , Vevay IN 47043. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rider, Stefanie E can be contacted via phone (317) 537-7483.

Contact Information

Primary practice address
5927 Montgomery Rd Vevay IN 47043
Phone: (317) 537-7483
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X TPMC3198 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CTB-2022-0724 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0019066 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X CTB-2022-0724 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X TLC435PC South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 701011944 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002259A Indiana

Profile Details

NPI number 1932356250
LBN Legal business name Rider, Stefanie E
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated May 8th, 2023 - about 3 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 1932356250 NPPES
Indiana MEDICAID 100264520

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