Doctor Name: | MARY RILEY |
NPI Number: | 1043559149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CW017590 |
Business Practice Address: | 467 Creamery Way Exton, PA - 193412508 |
Business Phone Number: | 6103631488 |
Business Fax Number: | 6103638273 |
Mailing Address: | 2516 Bryan Dr, WILMINGTON |
State: | DE |
Postal Code: | 198083704 |
Phone Number: | 6103631488 |
Fax Number: | 6103638273 |
NPI Enumeration Date: | 02/08/2013 |
NPI Last Update Date: | 02/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |