MEDICARE: ANNMARIE RIDINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	4031	MA

General Provider Information

NPI Number	:	1700436185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNMARIE RIDINGS

Provider Business Mailing Address
First Line	:	20 TINKHAM LN
Second Line	:
City	:	MATTAPOISETT
State	:	MA
Zip	:	02739-1025
Country	:	US
Telephone Number	:	508-944-2158
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 MOUNT PLEASANT ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02746-1539
Country	:	US
Telephone Number	:	508-944-2158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2019
Last Update Date	:	09/17/2019

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Directions to “ ANNMARIE RIDINGS ” Practice Location

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