Doctor Name: | LINDA RIDDLE |
NPI Number: | 1013008507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | I7465 |
Business Practice Address: | Bamberg High School Ulmenstrasse 20 Bamberg, BAVARIA - 96050 |
Business Phone Number: | 0951303103 |
Business Fax Number: | |
Mailing Address: | 279th Bsb Unit 27535 Box 23695, APOAE BAMBERG |
State: | BAVARIA |
Postal Code: | 96110 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | I7465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |