| Riley Therapeutic Services Inc | |
|
42 Edwards St Ste A Southbridge MA 01550-1937 | |
| (774) 450-5265 | |
| Not Available |
| Full Name | Riley Therapeutic Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 42 Edwards St Ste A, Southbridge, Massachusetts |
| Authorized Official Name and Position | Deborah Riley (OWNER) |
| Authorized Official Contact | 7744505265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Therapeutic Services Inc 42 Edwards St Ste A Southbridge MA 01550-1937 Ph: (774) 450-5265 | Riley Therapeutic Services Inc 42 Edwards St Ste A Southbridge MA 01550-1937 Ph: (774) 450-5265 |
| NPI Number | 1083380364 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 3173921400 |
|---|---|
| Medicare Enrollment ID | O20211018000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083380364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah Elizabeth Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750432639 PECOS PAC ID: 6103188990 Enrollment ID: I20180314001125 |
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