| Patricia Fiske Ridley, Ph.d., Ltd. | |
|
26697b Pleasant Park Rd Ste 250 Conifer CO 80433-7739 | |
| (303) 818-1313 | |
| Not Available |
| Full Name | Patricia Fiske Ridley, Ph.d., Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 26697b Pleasant Park Rd, Conifer, Colorado |
| Authorized Official Name and Position | Patricia Fiske Ridley (SOLE PROPRIETOR) |
| Authorized Official Contact | 3036791429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Fiske Ridley, Ph.d., Ltd. 26697b Pleasant Park Rd Ste 250 Conifer CO 80433-7739 Ph: (303) 818-1313 | Patricia Fiske Ridley, Ph.d., Ltd. 26697b Pleasant Park Rd Ste 250 Conifer CO 80433-7739 Ph: (303) 818-1313 |
| NPI Number | 1972971729 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 2466761994 |
|---|---|
| Medicare Enrollment ID | O20151022001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972971729 | NPI | - | NPPES |
| 867042 | Other | CO | BEACON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2667 (Colorado) | Primary |
| Provider Name | Patricia Fiske Ridley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588051676 PECOS PAC ID: 1254640790 Enrollment ID: I20171205000053 |
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