Individual
JOSIE RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-2000
Mailing address
5399 HIGHWAY 1078 N, HENDERSON, KY 42420-8906
(270) 869-4064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004489A
IN
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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