Provider Demographics
NPI:1316082837
Name:RIFFEL, MATTHEW THOMAS (MHRS BA)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:THOMAS
Last Name:RIFFEL
Suffix:
Gender:M
Credentials:MHRS BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2350 PROFESSIONAL DR
Mailing Address - Street 2:COUNTY OF SONOMA, FACT
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3018
Mailing Address - Country:US
Mailing Address - Phone:707-565-4951
Mailing Address - Fax:707-565-3409
Practice Address - Street 1:2350 PROFESSIONAL DR
Practice Address - Street 2:COUNTY OF SONOMA, FACT
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3018
Practice Address - Country:US
Practice Address - Phone:707-565-4951
Practice Address - Fax:707-565-3409
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA799882163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health