Riley, Debra E.

Riley, Debra E. is an individual health care provider with primary practice located at 43 Baxter Blvd , Portland ME 04101-1823. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Riley, Debra E. can be contacted via phone (207) 874-1065.

Contact Information

Primary practice address
43 Baxter Blvd Portland ME 04101-1823
Phone: (207) 874-1065
Fax: (207) 874-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1589 Maine

Profile Details

NPI number 1710109533
LBN Legal business name Riley, Debra E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Sep 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710109533 NPPES
Maine MEDICAID 431973199

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