Provider Demographics
NPI:1336449859
Name:RIDDLE, MARGARET W (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:W
Last Name:RIDDLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 BEAR MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6838
Mailing Address - Country:US
Mailing Address - Phone:303-378-0605
Mailing Address - Fax:
Practice Address - Street 1:3773 CHERRY CREEK NORTH DR
Practice Address - Street 2:EAST TOWER STE. 925
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3804
Practice Address - Country:US
Practice Address - Phone:303-378-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1284103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical