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

Miranda Mae Riddle, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407524168

Miranda Mae Riddle, MS, CCC-SLP is a Speech-Language Pathologist in Macomb, Illinois. Practices as a sole proprietor. Licensed in Illinois and Texas.

Licensed in
IL, TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

12505 N 1500th Rd
Macomb, IL 61455-8425
Phone: (325) 212-3239
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.016080 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 146016080 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 114598 (TX)

Record details

NPI number1407524168
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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