Donna J Ripley, PHD
Individual provider Active NPI Clinical Psychologist · Rock Falls, IL
NPI 1376684068 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1376684068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071003667 (IL)
- Practice address
- 300 1St Ave
Suite 200
Rock Falls, IL 61071-5108 - Phone
- (815) 626-0201
- Fax
- (815) 626-0254
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071003667 | IL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071003667 | IL | Yes |
Addresses
Primary practice location
300 1St Ave
Suite 200
Rock Falls, IL 61071-5108
Mailing address
300 1St Ave
Suite 200
Rock Falls, IL 61071-5108
Phone (815) 626-0201
Other providers in Rock Falls, IL
- Petersen Health & Wellness, LLC
- Long P Pham
- Breanna Preston
- Susan Provow
- Donald Lee Rastede
- Riverdale Elem SCH Dist 14
- Rock Falls Elem School Dist 13
- Lisa Ann Rodriguez
- Muhammad Salahuddin
- Cynthia E Sanchez Vazquez
All providers in Rock Falls, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.