Individual provider · Type 1 NPI

Ryan Bridendolph

Peer Specialist · Vinita, OK

NPI number 1427420157 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Call (918) 256-6476 Map

Fax (918) 256-3628

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1427420157

Ryan Bridendolph's National Provider Identifier is 1427420157, issued on Oct 21, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Dec 14, 2015.