Individual
MRS. ELLEN K RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1818 1/2 BASIL WESTERN RD, BALTIMORE, OH 43105-9334
(614) 600-2428
Mailing address
3401 FIREFLY CT, COLUMBUS, OH 43221-4717
(614) 876-0204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 2149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 2149
BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
—
Enumeration date
07/31/2013
Last updated
02/09/2016
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