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Contact Information

STEFANIE E RIDER, MA
5927 MONTGOMERY RD
VEVAY, IN47043
 Phone: 317-537-7483
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for STEFANIE E RIDER · (Female)

NPI # 1932356250
Status Active
Credentials MA
Entity Individual
Enumeration date 08/19/2008
Last updated 05/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # LPC.0019066
  • FL License # TPMC3198
  • IN License # 39002259A
  • NM License # CTB-2022-0724
  • SC License # TLC435PC
  • VA License # 701011944
  • IN Medicaid 100264520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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