Provider Demographics
NPI:1891994463
Name:RILEY, ADRIAN (BA)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:RILEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHILDREN'S HOSPITAL GUIDANCE CENTER
Mailing Address - Street 2:187 W. SCHROCK RD
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-355-8315
Mailing Address - Fax:614-355-8315
Practice Address - Street 1:CHILDREN'S HOSPITAL GUIDANCE CENTER
Practice Address - Street 2:187 W. SCHROCK RD
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-355-8315
Practice Address - Fax:614-355-8315
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicare UPIN