Provider Demographics
NPI:1811038151
Name:RIES, JOHN E (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:RIES
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7827 ROUTE 183
Mailing Address - Street 2:
Mailing Address - City:BERNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19506-8417
Mailing Address - Country:US
Mailing Address - Phone:215-694-2333
Mailing Address - Fax:
Practice Address - Street 1:7827 ROUTE 183
Practice Address - Street 2:
Practice Address - City:BERNVILLE
Practice Address - State:PA
Practice Address - Zip Code:19506-8417
Practice Address - Country:US
Practice Address - Phone:215-694-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005872L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist