Betty Anne Riley is a Clinical in Wheaton, Illinois. Betty Anne Riley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Betty Anne Riley is 1275758500. The last update date is 2018-04-18.
Betty Anne Riley's current location address is 213 W Wesley St Ste 105, Wheaton, Illinois. You can contact this provider via phone number 6306811900 and fax number 6304627669. The mailing address for Betty Anne Riley is 213 W Wesley St Ste 105, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Betty Anne Riley |
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Address | 213 W Wesley St Ste 105, Wheaton, Illinois |
Phone Number | 6306811900 |
Fax Number | 6304627669 |
Sole Proprietor | Y |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1275758500 |
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Provider Enumeration Date | 2007-04-13 |
Last Updated Date | 2018-04-18 |
Provider Mailing Address Detail
Address | 213 W Wesley St Ste 105 |
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City | Wheaton |
State | Illinois (IL) |
Post Code | 601875135 |
Phone Number | 6306811900 |
Fax Number | 6304627669 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 071-004797 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
AETNA | IL | 7236348 | |
26454300 | IL | MAGELLAN | |
2221477 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Betty Anne Riley by the Centers for Medicare & Medicaid Services?
The Betty Anne Riley has been assigned the NPI (National Provider Identifier) 1275758500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Betty Anne Riley is physically located?
The Betty Anne Riley is physically situated at the following address: 213 W Wesley St Ste 105, Wheaton, IL, 601875135.
What is the Betty Anne Riley's specialty and taxonomy code?
The Betty Anne Riley's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Betty Anne Riley receive its 1275758500 assignment from the Centers for Medicare & Medicaid Services?
The Betty Anne Riley was assigned its 1275758500 by the Centers for Medicare & Medicaid Services on 2007-04-13.
As of what date were the details related to Betty Anne Riley most recently updated or revised?
The information pertaining to Betty Anne Riley, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-18.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA