Julie Anne Rider, M.A., M.F.T.

Individual provider Active NPI Marriage & Family Therapist · Hanalei, HI

NPI 1285897306 · NPPES record last updated Jul 9, 2008

Key facts

NPI
1285897306
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
170 (HI)
Practice address
5-5161 Kuhio Hwy Suite E 202
Hanalei, HI 96714
Phone
(808) 826-7433
Fax
(808) 826-7437
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
170HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rider Physical Therapy & Sports Clinic, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 170 HI Yes

Addresses

Primary practice location

5-5161 Kuhio Hwy Suite E 202
Hanalei, HI 96714

Mailing address

4345 Kuke St
Kilauea, HI 96754-5310
Phone (808) 828-1161

Other providers in Hanalei, HI

All providers in Hanalei, HI · Marriage & Family Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.