Individual
DR. ELLEN D RIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17 COLONY LANE, BRATENAHL, OH 44108
(216) 451-4125
(216) 451-4125
Mailing address
17 COLONY LANE, BRATENAHL, OH 44108
(216) 451-4125
(216) 451-4125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130928
ANTHEM BCBS
—
01
—
0005743288
AETNA INS
—
05
—
0438477
—
OH
01
—
280339
PCSP VALUE OPTIONS
—
01
—
5619333
AETNA PCSP
—
01
—
6112217
UNITED BEHAV ELLEN D RIE
—
01
—
64636
CIGNA PCSP
—
Enumeration date
02/06/2007
Last updated
07/08/2007
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