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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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