MARK S RIDER

SOUTHLAKE, TX
NPI1336156975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: TX  24516)
Enumeration Date2006-08-02
Last Update Date2009-06-08
Business Address
MARK S RIDER PHD
558 SILICON DR #102
SOUTHLAKE, TX 76092-7529
Phone number: 817-442-1707
Mailing Address
MARK S RIDER PHD
558 SILICON DR #102
SOUTHLAKE, TX 76092-7529
Phone number: 817-442-1707
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