Individual
MS. JENI LYNN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
2404 ARBOR VIEW CIR, DIBERVILLE, MS 39540-4880
(228) 990-8976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3572
MS
Other
Enumeration date
09/09/2012
Last updated
09/09/2012
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