Provider Demographics
NPI:1427286558
Name:RIVERA, DEVLYNNE (MA)
Entity type:Individual
Prefix:MS
First Name:DEVLYNNE
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:DEVLYNNE
Other - Middle Name:
Other - Last Name:NEIMEISTER-RIVERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:1000 SE LETHA CIR APT 8
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4552
Mailing Address - Country:US
Mailing Address - Phone:586-596-1520
Mailing Address - Fax:
Practice Address - Street 1:1000 SE LETHA CIR APT 8
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4552
Practice Address - Country:US
Practice Address - Phone:586-596-1520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health