Individual
MRS. MANDEE L RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
7575 US HIGHWAY 42, FLORENCE, KY 41042-1939
(859) 283-6044
(859) 283-6046
Mailing address
40 N GRAND AVE, SUITE 100, FORT THOMAS, KY 41075-4107
(859) 572-4103
(859) 572-3044
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0469
KY
235Z00000X
Speech-Language Pathologist
0469
KY
237700000X
Hearing Instrument Specialist
0941
KY
Other
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
Enumeration date
02/02/2007
Last updated
08/21/2013
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