Doctor Name: | ELIZABETH ANNE RYDER |
NPI Number: | 1093093742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 021083-1 |
Business Practice Address: | 4400 Vestal Parkway East Binghamton University Vestal, NY - 139026000 |
Business Phone Number: | 6077772829 |
Business Fax Number: | |
Mailing Address: | 24 Ostrum Rd, KIRKWOOD |
State: | NY |
Postal Code: | 137951419 |
Phone Number: | 6077221141 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2011 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 021083-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |