Provider Demographics
NPI:1821326679
Name:USHERWOOD, RIDLEY NORTMAN (BA MDIV DMIN)
Entity Type:Individual
Prefix:DR
First Name:RIDLEY
Middle Name:NORTMAN
Last Name:USHERWOOD
Suffix:
Gender:M
Credentials:BA MDIV DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 WALL STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718
Mailing Address - Country:US
Mailing Address - Phone:608-274-8294
Mailing Address - Fax:608-274-8783
Practice Address - Street 1:5310 WALL STREET
Practice Address - Street 2:SUITE 500
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718
Practice Address - Country:US
Practice Address - Phone:608-274-8294
Practice Address - Fax:608-274-8783
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral