Provider Demographics
NPI:1235298100
Name:RILEY, RACHELLE SEANINE (MS)
Entity Type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:SEANINE
Last Name:RILEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DARTMOUTH AVE
Mailing Address - Street 2:A2
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1538
Mailing Address - Country:US
Mailing Address - Phone:610-938-9000
Mailing Address - Fax:
Practice Address - Street 1:325 DARTMOUTH AVE
Practice Address - Street 2:A2
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1538
Practice Address - Country:US
Practice Address - Phone:610-938-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health