Provider Demographics
NPI:1821413378
Name:RIDER-WILLIAMS, ELIZABETH (LPC, PMH-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:RIDER-WILLIAMS
Suffix:
Gender:F
Credentials:LPC, PMH-C
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:RIDER-WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:143 DEBORAH DR
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3100
Mailing Address - Country:US
Mailing Address - Phone:484-332-8527
Mailing Address - Fax:
Practice Address - Street 1:4 WELLINGTON BLVD STE 202
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1800
Practice Address - Country:US
Practice Address - Phone:484-332-8527
Practice Address - Fax:484-332-8527
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001054101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional