MS. KERRY T RIDALL


Address: 400 East Second Street, Centennial Hall, Bloomsburg, PA 17815-1301
Phone: 5703895380

MS. KERRY T RIDALL (NPI# 1548576713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548576713
Entity Type Individual
Full Name MS. KERRY T RIDALL
Other Name KERRY T CIMINO
Credential CCC-SLP
Practice Address 400 East Second Street
Centennial Hall
Bloomsburg
PA 17815-1301
Mailing Address Po Box 1388
Kingston
PA 18704-0388
Practice Telephone 5703895380
Practice Fax Number 5703895022
Mailing Telephone 5706838511
Enumeration Date 2010-08-26
Last Update Date 2014-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SL009285 PA Speech, Language and Hearing Service Providers

Office Location

Street Address 400 EAST SECOND STREET
CENTENNIAL HALL
City BLOOMSBURG
State PA
Zip Code 17815-1301

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1780295733 Geisinger Clinic Emergency Medicine 545 Fair Street, Bloomsburg, PA 17815 2020-08-13
1124457551 Patricia Marie Archey Physician Assistant 93 Avon Ave, Bloomsburg, PA 17815 2013-11-06
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1396069332 Cmsu Behavioral Health and Developmental Services Community/Behavioral Health 675 Locust St, Bloomsburg, PA 17815 2010-03-19
1922235829 Joel Stephen Hamilton Dentist 2 Audubon Court, Bloomsburg, PA 17815 2009-06-18
1508011685 Cindy A Prosseda Social Worker 6850 Lowes Road, Bloomsburg, PA 17815 2008-11-17
1881854271 Francis Joseph Welk Physical Therapist 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 2008-06-10
1679652390 John A Scerbo Dentist 812 Central Road, Bloomsburg, PA 17815 2006-11-03
1104914811 Columbia Ancillary Services Inc Durable Medical Equipment & Medical Supplies 1141 Ridge Road, Bloomsburg, PA 17815 2006-10-10
1922192681 Patricia M. Taylor Speech-Language Pathologist 6530 Main Street, Bloomsburg, PA 17815 2006-10-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720468655 Catherine M Mullen-marcera Speech-Language Pathologist 7 Kent Rd, Bloomsburg, PA 17815-8553 2015-06-05
1972991495 Kayla Turonis Speech-Language Pathologist 562 W Main St, Bloomsburg, PA 17815-1508 2015-01-06
1710394713 Reanna Buehler Speech-Language Pathologist 298 E 5th St, Suite 2, Bloomsburg, PA 17815-2353 2014-07-22
1225265879 Angela Lannan Speech-Language Pathologist 51 Levi St, Bloomsburg, PA 17815-7786 2009-06-22
1710017959 Heidi Marie Mintzer Speech-Language Pathologist 121 Old Field Dr, Bloomsburg, PA 17815-8303 2007-03-06
1922192681 Patricia M. Taylor Speech-Language Pathologist 6530 Main Street, Bloomsburg, PA 17815 2006-10-03
1285679928 Carrie Lynn Vitko Speech-Language Pathologist 400 E. 2nd St., Centennial Hall, Bloomsburg, PA 17815-1301 2006-06-17
1619954591 Shaheen Nazir Awan Speech-Language Pathologist 6850 Lows Rd Ste 320, Northeast Ear, Nose & Throat, Bloomsburg, PA 17815-8708 2005-12-30
1164933594 Sharon M Blake Speech-Language Pathologist 400 E 2nd St, Bloomsburg, PA 17815-1301 2017-10-12
1750830881 Kailyn R. Stewart Speech-Language Pathologist 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 2016-09-30
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Competitor

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City BLOOMSBURG
Zip Code 17815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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