Doctor Name: | JOHN S. RILA |
NPI Number: | 1477554764 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | CW014657 |
Business Practice Address: | 19 Central Ave 3rd Floor Oil City, PA - 163012733 |
Business Phone Number: | 8146786900 |
Business Fax Number: | 8146786902 |
Mailing Address: | 19 Central Ave, 3rd Floor OIL CITY |
State: | PA |
Postal Code: | 163012733 |
Phone Number: | 8146786900 |
Fax Number: | 8146786902 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 06/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014657 |
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 |