TARA RIDDLE

URBANA, IL
NPI1164866687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301014898)
Enumeration Date2013-04-26
Last Update Date2013-12-10
Business Address
-- TARA RIDDLE Ph.D.
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-6792
Mailing Address
-- TARA RIDDLE Ph.D.
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-6792
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