John E Ries, PSYCHOLOGIST

Individual provider Active NPI Psychologist · Bernville, PA

NPI 1811038151 · NPPES record last updated Jun 17, 2009

Key facts

NPI
1811038151
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PS005872L (PA)
Practice address
7827 Route 183
Bernville, PA 19506-8417
Phone
(215) 694-2333
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PS005872LPAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005872L PA Yes

Addresses

Primary practice location

7827 Route 183
Bernville, PA 19506-8417

Mailing address

7827 Route 183
Bernville, PA 19506-8417
Phone (215) 694-2333

Other providers in Bernville, PA

All providers in Bernville, PA · Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.