Miranda Mae Riddle, MS., CCC-SLP

NPI #1407524168 in Macomb, Illinois

Provider Information

NPI Number
1407524168
Entity Type
Individual
Name
Miranda Mae Riddle, MS., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS., CCC-SLP
Enumeration Date
Aug 30, 2021
Last Updated
Jan 12, 2023

Practice Location

Address
12505 N 1500TH RD
City
Macomb
ZIP Code
61455-8425
Phone
(325) 212-3239

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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