Provider Demographics
NPI:1417166414
Name:RILEY-BEHRINGER, MAUREEN ELIZABETH (MSSA LISW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELIZABETH
Last Name:RILEY-BEHRINGER
Suffix:
Gender:F
Credentials:MSSA LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29325 CHAGRIN BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4600
Mailing Address - Country:US
Mailing Address - Phone:216-390-0528
Mailing Address - Fax:216-360-4650
Practice Address - Street 1:29325 CHAGRIN BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4600
Practice Address - Country:US
Practice Address - Phone:216-390-0528
Practice Address - Fax:216-360-4650
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00081071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical