Organization
PATRICIA FISKE RIDLEY, PH.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA FISKE RIDLEY PH.D. (SOLE PROPRIETOR)
(303) 679-1429
Entity
Organization
Contact information
Practice address
26697B PLEASANT PARK RD, STE 250, CONIFER, CO 80433-7739
(303) 818-1313
Mailing address
26697B PLEASANT PARK RD, STE 250, CONIFER, CO 80433-7739
(303) 818-1313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2667
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
867042
BEACON
CO
Enumeration date
09/10/2015
Last updated
03/17/2018
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