Doctor Name: | MS. MEREDITH ANNE REILLY |
NPI Number: | 1336385632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED., LMHC |
License Number: | 7628 |
Business Practice Address: | 411 Route 6a Yarmouth Port, MA - 026751843 |
Business Phone Number: | 7747229372 |
Business Fax Number: | |
Mailing Address: | Po Box 1557, ORLEANS |
State: | MA |
Postal Code: | 026531557 |
Phone Number: | 7747229372 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |