| Doctor Name: | MISS LYNN REENI RIDER |
| NPI Number: | 1043462468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 05684 |
| Business Practice Address: | Department Of Otolaryngology Jhu 601 N. Caroline St. Room 6163 Baltimore, MD - 212870001 |
| Business Phone Number: | 4019551080 |
| Business Fax Number: | |
| Mailing Address: | 2171 Cowden Ave, Apt. #1 MEMPHIS |
| State: | TN |
| Postal Code: | 381045369 |
| Phone Number: | 9016529278 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2008 |
| NPI Last Update Date: | 10/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 05684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |