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Mathew David Riddle
Mental Health Clinic/Center (Including Community Mental Health Center) in Edmond, Oklahoma
NPI 1619577145

Mathew David Riddle is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Edmond, OK and is specialized in Mental Health (Including Community Mental Health Center). Mathew David Riddle practices in Edmond, OK. The NPI Number for Mathew David Riddle is 1619577145 and holds a License No. (Oklahoma).

The current practice location address for Mathew David Riddle is 13707 Fairhill Ave, Edmond, OK and can be reached out via phone at 405-607-4041.

Location: 13707 Fairhill Ave, Edmond, OK, 73013-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619577145
Provider Name
Mathew David Riddle
Credential
Provider Entity Type
Individual
Gender
Male
Address
13707 Fairhill Ave, Edmond, OK, 73013-1946
Phone Number
405-607-4041
Fax Number
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13707 Fairhill Ave
City
Edmond
State
Oklahoma
Zip
73013-1946
Phone Number
405-607-4041
Fax Number
person
Provider Business Mailing Address Details
Address
13707 Fairhill Ave
City
Edmond
State
Oklahoma
Zip
73013-1946
Phone Number
405-607-4041
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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