Mary P. Riddle is a Clinical in State College, Pennsylvania. Mary P. Riddle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary P. Riddle is 1588840524. The last update date is 2008-01-20.
Mary P. Riddle's current location address is 712 Cornwall Rd, State College, Pennsylvania. You can contact this provider via phone number 2126430939. The mailing address for Mary P. Riddle is 712 Cornwall Rd, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary P. Riddle |
|---|---|
| Address | 712 Cornwall Rd, State College, Pennsylvania |
| Phone Number | 2126430939 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1588840524 |
|---|---|
| Provider Enumeration Date | 2008-01-20 |
| Last Updated Date | 2008-01-20 |
Provider Mailing Address Detail
| Address | 712 Cornwall Rd |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168031427 |
| Phone Number | 2126430939 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS016040 |
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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 Mary P. Riddle by the Centers for Medicare & Medicaid Services?
The Mary P. Riddle has been issued the NPI (National Provider Identifier) 1588840524 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mary P. Riddle's physical address?
The Mary P. Riddle is physically located at 712 Cornwall Rd, in the city of State College, PA, with the postal code 168031427.
What is the area of specialization for Mary P. Riddle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary P. Riddle is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Mary P. Riddle receive its 1588840524 assignment from the Centers for Medicare & Medicaid Services?
The Mary P. Riddle was assigned its 1588840524 on 2008-01-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary P. Riddle most recently updated or revised?
The details related to Mary P. Riddle, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-20.
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