Individual
DR. KILLORIN MAUREEN RIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11305 ELIANO STREET, ATASCADERO, CA 93422
(310) 621-7965
Mailing address
11305 ELIANO STREET, ATASCADERO, CA 93422
(310) 621-7965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 13275
CA
103T00000X
Psychologist
Primary
PSY13275
CA
103TC0700X
Clinical Psychologist
PSY 13275
CA
Other
Enumeration date
08/03/2009
Last updated
09/14/2012
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