Healthcare Provider Details

I. General information

NPI: 1639098965
Provider Name (Legal Business Name): RILEY PAIGE SKEENS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MIDDLETOWN RD STE 102
WHITE HALL WV
26554-8177
US

IV. Provider business mailing address

1308 LOCUST AVE APT 2
FAIRMONT WV
26554-1436
US

V. Phone/Fax

Practice location:
  • Phone: 304-534-8122
  • Fax:
Mailing address:
  • Phone: 304-644-7348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPSLP1148
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: