Individual
BEVERLY JEAN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.M.H.C.
Contact information
Practice address
905 ALBANY ST, INDIANAPOLIS, IN 46203-5102
(317) 576-3840
Mailing address
905 ALBANY ST, INDIANAPOLIS, IN 46203-5102
(317) 576-3840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001361A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952334229
—
IN
Enumeration date
07/09/2006
Last updated
04/21/2026
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