Ms Kerry T Ridall, CCC-SLP | |
400 East Second Street, Centennial Hall, Bloomsburg, PA 17815-1301 | |
(570) 389-5380 | |
(570) 389-5022 |
Full Name | Ms Kerry T Ridall |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 400 East Second Street, Bloomsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548576713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SL009285 (Pennsylvania) | Primary |
Provider Name | Husky Research Corporation Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518040179 PECOS PAC ID: 2062498967 Enrollment ID: O20040629001153 |
Mailing Address | Practice Location Address |
---|---|
Ms Kerry T Ridall, CCC-SLP Po Box 1388, Kingston, PA 18704-0388 Ph: (570) 683-8511 | Ms Kerry T Ridall, CCC-SLP 400 East Second Street, Centennial Hall, Bloomsburg, PA 17815-1301 Ph: (570) 389-5380 |
Leah C Thomas, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 211 E 1st St, Bloomsburg, PA 17815 Phone: 570-784-5930 | |
Sharon M Blake, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 E 2nd St, Bloomsburg, PA 17815 Phone: 570-389-5380 Fax: 570-389-5022 | |
Angela Lannan, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 Levi St, Bloomsburg, PA 17815 Phone: 570-428-3572 Fax: 888-939-4190 | |
Carrie Lynn Vitko, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 E. 2nd St., Centennial Hall, Bloomsburg, PA 17815 Phone: 570-389-5380 Fax: 570-389-5022 | |
Peggy E Snyder, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815 Phone: 570-389-5380 Fax: 570-389-5022 | |
Cindy Prusiensky Yocum, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815 Phone: 570-389-5380 Fax: 570-389-5022 | |
Anita Louise Wasileski, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815 Phone: 570-389-5380 Fax: 570-389-5022 |