MR. DORREAN RILEY


Address: 19189 Lexington, Redford, MI 48240-2618
Phone: 3132049118

MR. DORREAN RILEY (NPI# 1902404122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902404122
Entity Type Individual
Full Name MR. DORREAN RILEY
Credential TLLP
Practice Address 19189 Lexington
Redford
MI 48240-2618
Practice Telephone 3132049118
Mailing Telephone 3132049118
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6362009003 MI Behavioral Health & Social Service Providers

Office Location

Street Address 19189 LEXINGTON
City REDFORD
State MI
Zip Code 48240-2618

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City REDFORD
Zip Code 48240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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