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Contact Information

MATTHEW M KRIDEL, PHD
997 SAINT SEBASTIAN WAY
AUGUSTA, GA30912-2613
 Phone: 706-721-6719
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW M KRIDEL · (Male)

NPI Number 1588221808
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/22/2019
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY004537
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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