Mathew David Riddle
Mathew David Riddle is a Mental Health Clinic/Center (Including Community Mental Health Center) in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
13707 Fairhill AveEdmond, OK 73013-1946
Phone: (405) 607-4041
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Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1619577145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2020 |
| Last updated in NPPES | October 26, 2020 |
| Certification date | October 26, 2020 |
| Mailing address | 13707 Fairhill Ave, Edmond, OK 73013-1946 |
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13707 Fairhill Ave, Edmond, OK 73013-1946 · (405) 607-4041