Individual
DR. PATRICIA FISKE RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
26697B PLEASANT PARK RD, STE 250, CONIFER, CO 80433-7739
(303) 818-1313
Mailing address
26697B PLEASANT PARK RD, STE 250, CONIFER, CO 80433-7739
(303) 818-1313
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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