Susan Mary De Ridder Valid NPI
Individual provider · Speech-Language Pathologist · Ashtabula, OH
- NPI
- 1811386675
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- SP.4650 (OH)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-01-16
- Last updated
- 2015-01-16
Practice location
4200 State Rd
Ashtabula, OH 44004-6017
(440) 576-9023