MEDICARE: HOPE BROWN RILEY PHD

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	103T00000X	Psychologist	PS004155L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	034795	OTHER		BCBS
2	532197000	OTHER		MAGELLAN

General Provider Information

NPI Number	:	1801982657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE BROWN RILEY PHD

Provider Business Mailing Address
First Line	:	175 STRAFFORD AVE
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3317
Country	:	US
Telephone Number	:	610-971-0117
Fax Number	:	717-665-0324

Provider Business Practice Location Address
First Line	:	175 STRAFFORD AVE
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3317
Country	:	US
Telephone Number	:	610-971-0117
Fax Number	:	717-665-0324

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	01/03/2025

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