| Organization Name: | SHOUDT & REILLY PSYCHOLOGICAL SERVICES, LLC |
| NPI Number: | 1841381142 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA E. D. REILLY (PSYCHOLOGIST) |
| Mailing Address: | 4730 Perkiomen Ave # A Reading |
| State: | PA US |
| Postal Code: | 196069521 |
| Phone Number: | 6108981370 |
| Fax Number: | 6108981259 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |