Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Ridenour, PA

Organization Psychologist · NPI 1699233403

Jonathan Ridenour, PA is a Psychologist in Tyler, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 Troup Hwy Ste 502
Tyler, TX 75703-2357
Phone: (972) 424-9212
Fax: (972) 509-1450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1699233403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Bice — Office Manager · (903) 630-5788
NPI enumeratedMarch 11, 2019
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address4801 Troup Hwy Ste 502, Tyler, TX 75703-2357

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