DR. MARY P. RIDDLE (NPI# 1588840524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588840524 |
| Entity Type | Individual |
| Full Name | DR. MARY P. RIDDLE |
| Credential | PH.D. |
| Practice Address |
712 Cornwall Rd State College PA 16803-1427 |
| Practice Telephone | 2126430939 |
| Mailing Telephone | 2126430939 |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2008-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016040 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814097 | Mary Helen Riddle | Nurse Practitioner | 111 E 210th St, Bronx, NY 10467-2401 | 2017-11-12 |
| 1417129941 | Mary Elizabeth Riddle | Registered Nurse | 1210 13th St, Parkersburg, WV 26101-4144 | 2008-03-25 |
| Street Address |
712 CORNWALL RD |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783099 | J Cohn Psychotherapy Pllc | Psychologist | 204 E Calder Way Ste 301, State College, PA 16801-4756 | 2020-02-23 |
| 1992168637 | Ginger A Moore | Psychologist | 710 Glenn Rd, State College, PA 16803-3414 | 2016-03-31 |
| 1598161986 | Katharine Staley | Psychologist | 1269 Penfield Rd, State College, PA 16801-6418 | 2014-11-12 |
| 1083025100 | Kenneth Neil Levy | Psychologist | 1128 Longfellow Ln, State College, PA 16803-2414 | 2014-05-12 |
| 1609039338 | Allan B Elfant | Psychologist | 429 West Shadow Ln, State College, PA 16803-1237 | 2008-07-02 |
| 1952508012 | Sean D Lukens | Psychologist | 1315 S. Allen St., Suite 303, State College, PA 16801 | 2007-06-29 |
| 1992861041 | Judith J Frankel | Psychologist | 1185 Dorum Ave, State College, PA 16801-4102 | 2006-12-30 |
| 1467517045 | Denise Cheryl Person | Psychologist | 925 West College Avenue, State College, PA 16801-2804 | 2006-12-26 |
| 1891702445 | Scenery Park Psychology Group | Psychologist | 110 Regent Court, Suite 103, State College, PA 16801 | 2006-08-02 |
| 1033134259 | Michael J Cawley IIi | Psychologist | 113 Cherry Ridge Rd, State College, PA 16803-3309 | 2006-07-12 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on DR. MARY P. RIDDLE.
| 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.