Doctor Name: | ELIZABETH DEY RIDDLE |
NPI Number: | 1154528164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,CCC-SLP |
License Number: | 2193 |
Business Practice Address: | 2201 11th Ave Haleyville, AL - 355651613 |
Business Phone Number: | 2054869478 |
Business Fax Number: | 2054868738 |
Mailing Address: | 5997 Dime Rd, HALEYVILLE |
State: | AL |
Postal Code: | 355656907 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |