Provider Demographics
NPI:1689803934
Name:PALEN, RYE SCULLY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RYE
Middle Name:SCULLY
Last Name:PALEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RYE
Other - Middle Name:SCULLY
Other - Last Name:PALEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4615
Mailing Address - Country:US
Mailing Address - Phone:406-531-1857
Mailing Address - Fax:
Practice Address - Street 1:420 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4114
Practice Address - Country:US
Practice Address - Phone:406-531-1857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical