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Provider Information for 1285897306


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Mrs. JULIE ANNE RIDER M.A., M.F.T.


Sex: Female

NPI: 1285897306
Last Updated: 2008-07-09
Certification Date:

Details

NameValue
NPI1285897306
Enumeration Date2008-07-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4345 KUKE ST
KILAUEA, HI 96754-5310
United States

Phone: 808-828-1161 | Fax:808-826-7437
 
Primary Practice Address 5-5161 KUHIO HWY SUITE E 202
HANALEI, HI 96714
United States

Phone: 808-826-7433 | Fax:808-826-7437
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist HI170