Provider Demographics
NPI:1982855102
Name:RYDER, BONNIE E (BS)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:E
Last Name:RYDER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 RACE AVE
Mailing Address - Street 2:APT 306
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3152
Mailing Address - Country:US
Mailing Address - Phone:717-464-1241
Mailing Address - Fax:
Practice Address - Street 1:213 RACE AVE
Practice Address - Street 2:APT 306
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3152
Practice Address - Country:US
Practice Address - Phone:717-464-1241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor