Provider Demographics
NPI:1326534082
Name:RIDLEY, HANNAH (BA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:RIDLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-6412
Mailing Address - Country:US
Mailing Address - Phone:423-552-4703
Mailing Address - Fax:
Practice Address - Street 1:1015 BOROWOOD CT
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659
Practice Address - Country:US
Practice Address - Phone:423-502-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst