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Individual

DR. MICHAEL C. RIORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD.

Contact information

Practice address
2107 S 10TH ST, FORT PIERCE, FL 34950-5318
(772) 464-5555
(772) 468-8378
Mailing address
PO BOX 3757, FORT PIERCE, FL 34948-3757
(772) 464-5555
(772) 468-8378

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY 4565
FL
103TC0700X
Clinical Psychologist
Primary
PY 4565
FL
103TF0200X
Forensic Psychologist
PY 4565
FL

Other

Enumeration date
06/29/2006
Last updated
10/23/2007
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