DR. Jeremy Mark Ridenour, PSY.D.
NPI #1831558238 in Stockbridge, Massachusetts
Provider Information
- NPI Number
- 1831558238
- Entity Type
- Individual
- Name
- DR. Jeremy Mark Ridenour, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PSY.D.
- Enumeration Date
- Feb 15, 2016
- Last Updated
- Apr 21, 2019
Practice Location
- Address
- 25 MAIN STREET
- City
- Stockbridge
- State
- Massachusetts
- ZIP Code
- 01262-0962
- Phone
- (903) 258-5876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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