Doctor Name: | DR. MELISSA ELIZABETH DERBY REILLY |
NPI Number: | 1770573818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D. |
License Number: | PS009241L |
Business Practice Address: | 6720 E Perkiomen Avenue Birdsboro, PA - 195089178 |
Business Phone Number: | 6104041726 |
Business Fax Number: | |
Mailing Address: | 6720 Perkiomen Ave, BIRDSBORO |
State: | PA |
Postal Code: | 195089178 |
Phone Number: | 6104041726 |
Fax Number: | 6104041734 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS009241L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |