Miranda Mae Riddle, MS, CCC-SLP
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?
Practice location Address checks out
12505 N 1500th RdMacomb, IL 61455-8425
Phone: (325) 212-3239
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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 number | 1407524168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , CCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2021 |
| Last updated in NPPES | January 12, 2023 |
| Certification date | January 12, 2023 |
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12505 N 1500th Rd, Macomb, IL 61455-8425 · (325) 212-3239