Individual
MICHAELA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 BEAR CORBITT RD, BEAR, DE 19701-1323
(302) 454-2400
(302) 454-5442
Mailing address
424 TURNWOOD DR, COVINGTON, LA 70433-5830
(302) 598-7002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7575
LA
235Z00000X
Speech-Language Pathologist
O1-0001477
DE
Other
Enumeration date
09/23/2015
Last updated
11/12/2019
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