Bethany Clarke Riddle in Stony Brook - Clinical
Bethany Clarke Riddle - NPI 1285829689
Bethany Clarke Riddle is a Clinical in Stony Brook, New York. Bethany Clarke Riddle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bethany Clarke Riddle is 1285829689. The last update date is 2011-09-29.
Bethany Clarke Riddle's current location address is 1099 N Country Rd, Stony Brook, New York. You can contact this provider via phone number 6316552714. The mailing address for Bethany Clarke Riddle is 1099 N Country Rd, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Clarke Riddle |
|---|---|
| Address | 1099 N Country Rd, Stony Brook, New York |
| Phone Number | 6316552714 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1285829689 |
|---|---|
| Provider Enumeration Date | 2007-09-09 |
| Last Updated Date | 2011-09-29 |
Provider Mailing Address Detail
| Address | 1099 N Country Rd |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117901924 |
| Phone Number | 6316552714 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 17314 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Bethany Clarke Riddle by the Centers for Medicare & Medicaid Services?
The Bethany Clarke Riddle has been issued the NPI (National Provider Identifier) 1285829689 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bethany Clarke Riddle is geographically located?
The Bethany Clarke Riddle is physically situated at the following location: 1099 N Country Rd, Stony Brook, NY, 117901924.
What is Bethany Clarke Riddle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bethany Clarke Riddle's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1285829689 assigned to Bethany Clarke Riddle?
The Bethany Clarke Riddle was issued its 1285829689 on 2007-09-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bethany Clarke Riddle most recently updated or revised?
The details related to Bethany Clarke Riddle, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-29.