Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH L. RIDER, PHD
Deactivated Sole ProprietorClinical Neuropsychologist · MOUNTAIN VIEW, CA
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1518960061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (0.80547945205479 yrs)
- Last Updated
- Feb 3, 2013
- Deactivated
- Mar 17, 2006
- Licenses
-
PSY19767 (CA)PSY19767 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 SOUTH DRSUITE 207MOUNTAIN VIEW, CA, 940404213Browse CA providers · Browse ZIP 94040
- Phone
- 6509880900
- Fax
- 6509481837
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
Other Clinical Neuropsychologist Providers in MOUNTAIN VIEW, CA
| Name | Credential | NPI |
|---|---|---|
| JOHN WAGER | PHD | 1417168642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.