MEDICARE: RYLI MEYER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW025546	PA

General Provider Information

NPI Number	:	1043024060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYLI MEYER LCSW

Provider Business Mailing Address
First Line	:	7373 RIDGE AVE APT 421
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-3236
Country	:	US
Telephone Number	:	215-882-0952
Fax Number	:

Provider Business Practice Location Address
First Line	:	7373 RIDGE AVE APT 421
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-3236
Country	:	US
Telephone Number	:	215-882-0952
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/12/2025

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