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NPI Code Detail

MEDICARE: MRS. TOREY JONELL RICE M.S.

MEDICARE: MRS. TOREY JONELL RICE M.S.
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
1106H00000XMarriage & Family Therapist
2106H00000XMarriage & Family Therapist53977CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1942519001OTHERCARIVER OAKS CENTER FOR CHILDREN

General Provider Information

NPI Number : 1477789063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TOREY JONELL RICE M.S.
Provider Business Mailing Address
First Line : 401 VERNON ST STE B
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2600
Country : US
Telephone Number : 559-799-6574
Fax Number :
Provider Business Practice Location Address
First Line : 401 VERNON ST STE B
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2600
Country : US
Telephone Number : 559-799-6574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 04/16/2015

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