| Mrs Diane T Ryder, LPA | |
|
1430 Willow Ln, West Park C61-2, North Wilkesboro, NC 28659-3551 | |
| (336) 667-5151 | |
| (336) 667-5048 |
| Full Name | Mrs Diane T Ryder |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1430 Willow Ln, North Wilkesboro, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265492524 | NPI | - | NPPES |
| 135VN | Other | NC | BCBS OF NC |
| 6107297 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1958 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diane T Ryder, LPA 1400 Willow Ln, West Park C61-2, North Wilkesboro, NC 28659-3551 Ph: (336) 667-5151 | Mrs Diane T Ryder, LPA 1430 Willow Ln, West Park C61-2, North Wilkesboro, NC 28659-3551 Ph: (336) 667-5151 |
Catherine Kolstad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 613 Cherry St, North Wilkesboro, NC 28659 Phone: 336-667-1121 | |
Bethany Davis, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 613 Cherry St, North Wilkesboro, NC 28659 Phone: 336-651-7000 | |
Charles Thomas Mullis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 613 Cherry St, North Wilkesboro, NC 28659 Phone: 336-651-7105 |