Tara Riddle, PH.D.

NPI #1164866687 in Urbana, Illinois

Provider Information

NPI Number
1164866687
Entity Type
Individual
Name
Tara Riddle, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Apr 26, 2013
Last Updated
Dec 10, 2013

Practice Location

Address
611 W PARK ST
City
Urbana
ZIP Code
61801-2500
Phone
(217) 383-6792

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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