Individual
DR. PATRICIA A. RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
203 E LEBANON ST, MOUNT AIRY, NC 27030-3663
(336) 789-1693
Mailing address
PO BOX 307, MOUNT AIRY, NC 27030-0307
(336) 789-1693
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3046
NC
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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