Individual
DR. RISE JAYNE VANFLEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
391 MOUNTAIN ROAD (FAMILY ENHANCEMENT), BOILING SPRINGS, PA 17007-9522
(717) 645-1638
(717) 249-9479
Mailing address
PO BOX 613, BOILING SPRINGS, PA 17007-0613
(717) 645-1638
(717) 249-9479
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS004870L
PA
103TF0000X
Family Psychologist
Primary
PS004870L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700870
BLUE SHIELD PROVIDER NUMB
PA
Enumeration date
04/16/2007
Last updated
08/25/2022
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