Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY MARK RIDENOUR, PSY.D.
Active Sole ProprietorPsychologist · STOCKBRIDGE, MA
Registration Details
- NPI Number
- 1831558238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2016 (10.199606737049 yrs)
- Last Updated
- Apr 21, 2019
- Licenses
-
048.0117056 (VT)10216 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 MAIN STREETSTOCKBRIDGE, MA, 012620962Browse MA providers · Browse ZIP 01262
- Phone
- 9032585876
- Fax
- 4132984020
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in STOCKBRIDGE, MA
| Name | Credential | NPI |
|---|---|---|
| DR. SHARON ELIZABETH KRIKORIAN | PH.D. | 1942342787 |
| ELAINE VIRGINIA DEMOS | EDD | 1366587511 |
| DR. DONNA M ELMENDORF | PHD | 1275745952 |
| DR. JENNIFER L. STEVENS | PH.D. | 1366618720 |
| DR. DANIEL PAUL CHARLES KNAUSS | PSY.D. | 1578823290 |
| DR. MICHAEL BLAKE | PSY.D. | 1861876963 |
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.