Individual provider · Type 1 NPI

Mathew David Riddle

Mental Health Clinic/Center (Including Community Mental Health Center) · Edmond, OK

NPI number 1619577145 Active

Practice location

13707 Fairhill Ave
Edmond, OK 73013-1946

Call (405) 607-4041 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1619577145

Mathew David Riddle's National Provider Identifier is 1619577145, issued on Oct 26, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Edmond, OK. The record was last updated on Oct 26, 2020.