Individual
DR. REUBEN BENJAMIN RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1175 COOK RD STE 305, ORANGEBURG, SC 29118-8247
(803) 395-3715
(803) 395-3719
Mailing address
490 BREWTON ST, ORANGEBURG, SC 29115-4218
(803) 707-3634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1092
SC
Other
Enumeration date
02/06/2009
Last updated
12/09/2023
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