BLAKE ALEXANDER RIDDELL

EL PASO, TX
NPI1144727512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  37783)
Enumeration Date2018-04-11
Last Update Date2018-04-11
Business Address
Dr. BLAKE ALEXANDER RIDDELL Psy.D.
600 SUNLAND PARK DR. BLDG. 6, SUITE 100
EL PASO, TX 79912-7991
Phone number: 915-584-3636
Mailing Address
Dr. BLAKE ALEXANDER RIDDELL Psy.D.
304 FOUNTAIN RD
EL PASO, TX 79912-3816
Phone number: 817-808-8053
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