DR. Charles Robert Ridley, PH.D.

NPI #1386010676 in Bryan, Texas

Provider Information

NPI Number: 1386010676
Entity Type: Individual
Name: DR. Charles Robert Ridley, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 20, 2015
Last Updated: Aug 20, 2015

Practice Location

Address: 3201 UNIVERSITY DR E
Address 2: SUITE 200
City: Bryan
State: Texas
ZIP Code: 77802-3475
Phone: (812) 340-1714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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