Riley, Bonnie D.

Riley, Bonnie D. is an sole proprietor health care provider with primary practice located at 17244 Doyle Rd , Boonville MO 65233-3500. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Riley, Bonnie D. can be contacted via phone (660) 882-2377.

Contact Information

Primary practice address
17244 Doyle Rd Boonville MO 65233-3500
Phone: (660) 882-2377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000538 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01427 Missouri

Profile Details

NPI number 1316008014
LBN Legal business name Riley, Bonnie D.
Credentials LP, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jan 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316008014 NPPES
Missouri Other 6136915 UNITED BEHAVIORAL HEALTH
Missouri MEDICAID 493221105 UNITED BEHAVIORAL HEALTH

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