Organization · Type 2 NPI
Jonathan Ridenour, PA
Psychologist · Tyler, TX
Practice location
4801 Troup Hwy Ste 502
Tyler, TX 75703-2357
Fax (972) 509-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | None listed |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1699233403
Jonathan Ridenour, PA's National Provider Identifier is 1699233403, issued on Mar 11, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 18, 2023.