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Mark Rider, PHD
NPI 1336156975 · on the registry since 2006 · sole proprietor
Practice
- Address
- 558 Silicon Dr
#102
Southlake, TX 76092 - Phone
- (817) 442-1707
- Fax
- (817) 424-8428
- Organisation at this address
- Spry Medical Group Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas