Miranda Mae Riddle, MS., CCC-SLP

Speech-Language Pathologist · Macomb, IL

Individual Active NPI

NPI number 1407524168

Practice location

12505 N 1500TH Rd
Macomb, IL 61455-8425
Phone
(325) 212-3239

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NPI record

NPI
1407524168
Entity type
Individual (Type 1)
Enumeration date
August 30, 2021
Last updated
January 12, 2023
Certified
January 12, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146.016080 IL
Speech-Language Pathologist 235Z00000X 146016080 IL
Speech-Language Pathologist 235Z00000X 114598 TX

About Miranda Riddle

Miranda Mae Riddle, MS., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 12505 N 1500TH Rd, Macomb, IL 61455-8425. The NPI number 1407524168 was assigned on August 30, 2021 and the record was last updated on January 12, 2023.

Miranda Riddle lists 3 licenses in the registry: #146.016080 (IL) for Speech-Language Pathologist; #146016080 (IL) for Speech-Language Pathologist; #114598 (TX) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Miranda Mae Riddle, MS., CCC-SLP?

The NPI number is 1407524168.

What is the phone number of Miranda Riddle?

The phone number listed for the practice location is (325) 212-3239.

Where is Miranda Riddle located?

12505 N 1500TH Rd, Macomb, IL 61455-8425.

What is the taxonomy code for Miranda Riddle?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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