Individual
RACHEL LEA RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8810 COLBY BLVD, INDIANAPOLIS, IN 46268-1399
(317) 802-1691
Mailing address
4320 BRITTANY DR, ZIONSVILLE, IN 46077-8222
(317) 440-0729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005551A
IN
Other
Enumeration date
08/28/2012
Last updated
09/21/2018
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