MEDICARE: JEFFREY LOUIS RIFFKIN M.ED.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor
4	101YS0200X	School Counselor
5	103K00000X	Behavior Analyst
6	103TA0400X	Addiction (Substance Use Disorder) Psychologist
7	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1043503576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY LOUIS RIFFKIN M.ED.

Provider Business Mailing Address
First Line	:	278 BIRCH DR
Second Line	:
City	:	LAFAYETTE HILL
State	:	PA
Zip	:	19444-2119
Country	:	US
Telephone Number	:	610-834-1634
Fax Number	:

Provider Business Practice Location Address
First Line	:	278 BIRCH DR
Second Line	:
City	:	LAFAYETTE HILL
State	:	PA
Zip	:	19444-2119
Country	:	US
Telephone Number	:	610-834-1634
Fax Number	:

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

Provider Enumeration Date	:	05/17/2011
Last Update Date	:	05/17/2011

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