Doctor Name: | MS. MARGARET E. RIDER |
NPI Number: | 1417131988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00356900 |
Business Practice Address: | 209 Cooper Ave Suite 5c Upper Montclair, NJ - 070431883 |
Business Phone Number: | 9734322845 |
Business Fax Number: | |
Mailing Address: | 63 Newman Ave, VERONA |
State: | NJ |
Postal Code: | 070442109 |
Phone Number: | 9734322845 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00356900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |