Individual provider · Type 1 NPI

Jonathan Michael Ridenour, PSYD

Psychologist · Tyler, TX

NPI number 1760703003 Active

Practice location

4801 Troup Hwy Ste 502
Tyler, TX 75703-2357

Fax (903) 630-5885

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X34806 (TX)

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 1760703003

Jonathan Michael Ridenour, PSYD's National Provider Identifier is 1760703003, issued on Jun 22, 2010. 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.