Provider Demographics
NPI:1750703591
Name:RYLOTT, LOUISE
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:RYLOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:RYLOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1611 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-5349
Mailing Address - Country:US
Mailing Address - Phone:724-650-6883
Mailing Address - Fax:
Practice Address - Street 1:1611 19TH ST
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-5349
Practice Address - Country:US
Practice Address - Phone:724-650-6883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical