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Individual

DR. PATRICIA FISKE RIDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2667
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77030257
HEALTH FIRST COLORADO MEDICAID
CO
01
867042
BEACON HEALTH
CO
Enumeration date
04/16/2015
Last updated
07/21/2022
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