SearchIllinois235Z00000X

Miranda Riddle, MS., CCC-SLP

NPI 1407524168 · on the registry since 2021 · sole proprietor

Practice

Address
12505 N 1500th Rd
Macomb, IL 61455
Phone
(325) 212-3239
Organisation at this address
Trinity Speech Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
235Z00000X
Licence states on file
IL, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois