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NPI Code Detail

MEDICARE: MRS. TERESA LEE RYLEY BS

MEDICARE: MRS. TERESA LEE RYLEY BS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1093859506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERESA LEE RYLEY BS
Provider Business Mailing Address
First Line : 664 STAMPEDE DR
Second Line :
City : LOCHBUIE
State : CO
Zip : 80603-5795
Country : US
Telephone Number : 303-659-4548
Fax Number :
Provider Business Practice Location Address
First Line : 1512 MONACO PKWY
Second Line :
City : DENVER
State : CO
Zip : 80220-1641
Country : US
Telephone Number : 303-355-4008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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