Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA MAE RIDDLE, MS., CCC-SLP
Active Sole ProprietorMIRANDA MAE RIDDLE, MS., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MACOMB, Illinois. NPI 1407524168 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · MACOMB, IL
Registration Details
- NPI Number
- 1407524168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2021 (4.9575483044509 yrs)
- Last Updated
- Jan 12, 2023
- Licenses
-
146016080 (IL)114598 (TX)146.016080 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12505 N 1500TH RDMACOMB, IL, 614558425Browse IL providers · Browse ZIP 61455
- Phone
- 3252123239
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| TRUDY RODENBERG | MS,CCC-SLP | 1992810840 |
| PATRICIA LEE PASQUESI-NEMEC | SLP | 1154456937 |
| KATHRYN ANN POHLPETER | — | 1336462407 |
| AMY RUTH BURKE | — | 1699098764 |
| HEIDI LEE ELBE | — | 1376866996 |
| MRS. KARA MARIE WRIGHT | M.S. CCC-SLP | 1972020360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.