Provider Demographics
NPI:1710179775
Name:RYMER, GAIL J (PHD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:J
Last Name:RYMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-0373
Mailing Address - Country:US
Mailing Address - Phone:740-423-4743
Mailing Address - Fax:740-423-4248
Practice Address - Street 1:1085 JOE SKINNER RD 51
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-9488
Practice Address - Country:US
Practice Address - Phone:740-423-4743
Practice Address - Fax:740-423-4248
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV477103T00000X
OH4026103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH063302000OtherMAGELLAN BEHAV HEALTH
OH000000119302OtherANTHEM
OH0736501Medicaid
OH620004171OtherRR MEDICARE
WV0163293000Medicaid
OH620004171OtherRR MEDICARE