Gryder, Melissa

Gryder, Melissa is an individual health care provider with primary practice located at 1276 W River St , Boise ID 83702-7066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gryder, Melissa can be contacted via phone (208) 338-4699.

Contact Information

Primary practice address
1276 W River St Boise ID 83702-7066
Phone: (208) 338-4699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1720451230
LBN Legal business name Gryder, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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