Riley, Bonnie Jean

Riley, Bonnie Jean is an sole proprietor health care provider with primary practice located at 18564 Us Route 11 , Watertown NY 13601-5900. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Riley, Bonnie Jean can be contacted via phone (315) 783-5386.

Contact Information

Primary practice address
18564 Us Route 11 Watertown NY 13601-5900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R069336-1 New York

Profile Details

NPI number 1811972540
LBN Legal business name Riley, Bonnie Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Oct 7th, 2008 - about 16 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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