| Doctor Name: | DR. PAMELA RAE DEANE RILEY |
| NPI Number: | 1154432748 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD., CCC-A |
| License Number: | 3501002824 |
| Business Practice Address: | 919 E Jefferson Blvd Ste 104 South Bend, IN - 466173115 |
| Business Phone Number: | 5742325815 |
| Business Fax Number: | 5742894327 |
| Mailing Address: | 919 E Jefferson Blvd Ste 104, SOUTH BEND |
| State: | IN |
| Postal Code: | 466173115 |
| Phone Number: | 5742325815 |
| Fax Number: | 5742894327 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 3501002824 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |