Individual
DR. MARY P. RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
712 CORNWALL RD, STATE COLLEGE, PA 16803-1427
(212) 643-0939
Mailing address
712 CORNWALL RD, STATE COLLEGE, PA 16803-1427
(212) 643-0939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016040
PA
Other
Enumeration date
01/20/2008
Last updated
01/20/2008
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