Riddell, Blake Alexander
Riddell, Blake Alexander is an sole proprietor health care provider with primary practice located at 600 Sunland Park Dr. Bldg. 6, Suite 100, El Paso TX 79912-7991. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Riddell, Blake Alexander can be contacted via phone (915) 584-3636.Contact Information
Primary practice address
600 Sunland Park Dr. Bldg. 6, Suite 100
El Paso TX 79912-7991
Phone: (915) 584-3636
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 37783 | Texas |
Profile Details
NPI number | 1144727512 |
---|---|
LBN Legal business name | Riddell, Blake Alexander |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2018 |
Last updated | Apr 11th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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