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:
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Health care specialties

SpecialtyCodeLicense #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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