Provider Demographics
NPI:1073360251
Name:RIDINGS, TRINITY L (MSLP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:L
Last Name:RIDINGS
Suffix:
Gender:
Credentials:MSLP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4586 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:TN
Mailing Address - Zip Code:37073-5625
Mailing Address - Country:US
Mailing Address - Phone:615-767-6262
Mailing Address - Fax:
Practice Address - Street 1:1804 PINNACLE RD
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146-8011
Practice Address - Country:US
Practice Address - Phone:615-247-8623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-04
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8674235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist