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Search › Texas › 103T00000X

Jonathan Ridenour, PSYD

NPI 1760703003 · on the registry since 2010

Practice

Address
4801 Troup Hwy Ste 502
Tyler, TX 75703
Phone
(903) 630-5788
Fax
(903) 630-5885
Organisation at this address
Pedi Spot Llc
Tyler Tx Asc Llc
Jonathan Ridenour, Pa
Pediatric Therapeas Pllc
Wilson Renfroe, Psyd, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-18

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 Texas