Doctor Name: | KELSEY O'REILLY |
NPI Number: | 1205284320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 950 Campbell Ave West Haven, CT - 065162770 |
Business Phone Number: | 2039325711 |
Business Fax Number: | |
Mailing Address: | 7 Ash Rd, BRANFORD |
State: | CT |
Postal Code: | 064055902 |
Phone Number: | 2032142841 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2016 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |