Individual
DR. BETTY ANNE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02221477
BLUE CROSS BLUE SHIELD
IL
01
—
26454300
MAGELLAN
IL
01
—
AETNA
7236348
IL
Enumeration date
04/13/2007
Last updated
04/18/2018
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