Ridenour, Jeremy Mark
Ridenour, Jeremy Mark is an sole proprietor health care provider with primary practice located at 25 Main Street , Stockbridge MA 01262-0962. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ridenour, Jeremy Mark can be contacted via phone (903) 258-5876.Contact Information
Primary practice address
25 Main Street
Stockbridge MA 01262-0962
Phone: (903) 258-5876
Fax: (413) 298-4020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 048.0117056 | Vermont |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 10216 | Massachusetts |
Profile Details
| NPI number | 1831558238 |
|---|---|
| LBN Legal business name | Ridenour, Jeremy Mark |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2016 |
| Last updated | Apr 21st, 2019 - about 5 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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