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NPI Code Detail

MEDICARE: DR. BRIAN DAVID RIKER PSY.D.

MEDICARE:  DR. BRIAN DAVID RIKER  PSY.D.
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
1103TC0700XClinical Psychologist5939OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821215518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN DAVID RIKER PSY.D.
Provider Business Mailing Address
First Line : 2752 ERIE AVE STE 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2207
Country : US
Telephone Number : 513-297-4511
Fax Number : 513-297-4511
Provider Business Practice Location Address
First Line : 2752 ERIE AVE STE 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2207
Country : US
Telephone Number : 513-297-4511
Fax Number : 513-297-4511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 08/20/2021

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