Provider Demographics
NPI:1467599423
Name:RYDER-MUNET, LINDA E (LMFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:E
Last Name:RYDER-MUNET
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LOOKOUT DR
Mailing Address - Street 2:(EAST HADDAM)
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-5120
Mailing Address - Country:US
Mailing Address - Phone:860-537-2052
Mailing Address - Fax:
Practice Address - Street 1:41 LOOKOUT DRIVE
Practice Address - Street 2:
Practice Address - City:EAST HADDAM
Practice Address - State:CT
Practice Address - Zip Code:06423
Practice Address - Country:US
Practice Address - Phone:860-537-2052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000550106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT410000550CT10OtherANTHEM BCBS
CT0007102020OtherAETNA
CTP281-3786OtherOXFORD