Individual
MS. KERRY T RIDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
400 EAST SECOND STREET, CENTENNIAL HALL, BLOOMSBURG, PA 17815-1301
(570) 389-5380
(570) 389-5022
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0388
(570) 683-8511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009285
PA
Other
Enumeration date
08/26/2010
Last updated
08/26/2014
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