Theo Riley PHD LLC

NPI #1861569360 in Cody, Wyoming

Provider Information

NPI Number: 1861569360
Entity Type: Organization
Organization Name: Theo Riley PHD LLC
Primary Specialty: Psychologist
Enumeration Date: Nov 29, 2006
Last Updated: Oct 18, 2012

Practice Location

Address: 1001 14TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3745
Phone: (307) 587-9503

Authorized Official

Name: THEO A RILEY, PHD
Title: PSYCHOLOGIST
Phone: 30758795503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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