1588896591 NPI number — TREASURE COAST ULTRASOUND CONSULTANTS, INC

Table of content: DR. ERIN MICHELLE RIPLEY PSY.D. (NPI 1023492048)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588896591 NPI number — TREASURE COAST ULTRASOUND CONSULTANTS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TREASURE COAST ULTRASOUND CONSULTANTS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588896591
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
850 CENTRAL AVE
Provider Second Line Business Mailing Address:
#305
Provider Business Mailing Address City Name:
NAPLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34102-6030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-571-5995
Provider Business Mailing Address Fax Number:
239-775-6661

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 CENTRAL AVE
Provider Second Line Business Practice Location Address:
#305
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34102-6030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-571-5995
Provider Business Practice Location Address Fax Number:
239-775-6661
Provider Enumeration Date:
08/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
WALKER
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
GRANT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
239-591-5995

Provider Taxonomy Codes

  • Taxonomy code: 261QR0208X , with the licence number:  14776ARDMS , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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