Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kerry T Ridall, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1548576713

MS. Kerry T Ridall, CCC-SLP is a Speech-Language Pathologist in Bloomsburg, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

400 E Second Street Centennial Hall
Bloomsburg, PA 17815-1301
Phone: (570) 389-5380
Fax: (570) 389-5022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL009285 (PA)

Record details

NPI number1548576713
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 26, 2010
Last updated in NPPESAugust 26, 2014

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