| Doctor Name: | DR. MICHELLE ELIZABETH RIDENOUR |
| NPI Number: | 1588964415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D |
| License Number: | L1853937 |
| Business Practice Address: | 24 N Saint Joseph Ave Suite C-1 Niles, MI - 491202263 |
| Business Phone Number: | 2696830800 |
| Business Fax Number: | 2696837638 |
| Mailing Address: | 24 N Saint Joseph Ave, Suite C-1 NILES |
| State: | MI |
| Postal Code: | 491202263 |
| Phone Number: | 2696830800 |
| Fax Number: | 2696837638 |
| NPI Enumeration Date: | 10/26/2010 |
| NPI Last Update Date: | 10/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | L1853937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |