Robert Myron Ridley in Cookeville - Professional
Robert Myron Ridley - NPI 1891777264
Robert Myron Ridley is a Professional in Cookeville, Tennessee. Robert Myron Ridley practices all healthcare services and medical treatments related to Professional. The NPI Number for Robert Myron Ridley is 1891777264. The last update date is 2016-12-22.
Robert Myron Ridley's current location address is 441 E Broad St, Cookeville, Tennessee. You can contact this provider via phone number 9315441096 and fax number 9314513774. The mailing address for Robert Myron Ridley is 441 E Broad St, Cookeville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Myron Ridley |
|---|---|
| Address | 441 E Broad St, Cookeville, Tennessee |
| Phone Number | 9315441096 |
| Fax Number | 9314513774 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1891777264 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2016-12-22 |
Provider Mailing Address Detail
| Address | 441 E Broad St |
|---|---|
| City | Cookeville |
| State | Tennessee (TN) |
| Post Code | 385013389 |
| Phone Number | 9315441096 |
| Fax Number | 9314513774 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC000000159 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5441348 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert Myron Ridley by the Centers for Medicare & Medicaid Services?
The Robert Myron Ridley has been assigned the NPI (National Provider Identifier) 1891777264 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Robert Myron Ridley's facilities are situated?
The facilities of Robert Myron Ridley are physically located at the following address: 441 E Broad St, Cookeville, TN, 385013389.
What is the area of specialization for Robert Myron Ridley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Myron Ridley is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did the Robert Myron Ridley receive its 1891777264 assignment from the Centers for Medicare & Medicaid Services?
The Robert Myron Ridley was assigned its 1891777264 by the Centers for Medicare & Medicaid Services on 2005-11-18.
As of what date was the information regarding Robert Myron Ridley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Myron Ridley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-22.