# MRS. MANDEE L RIDDELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053459826
- **Gender:** F
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 0469 | KY | Yes |
| 235Z00000X | Speech-Language Pathologist | 0469 | KY | — |
| 237700000X | Hearing Instrument Specialist | 0941 | KY | — |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0469 | SPEECH-LANG. PATH AND AUD | KY |
| 01 | — | 0941 | LIC. FOR HEARING INST. | KY |
| 01 | — | 23002402A | AUDIOLOGIST LICENSE | IN |