Individual
DR. RICHARD A REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
227 CONCORD AVE, CAMBRIDGE, MA 02138
(617) 864-1966
Mailing address
227 CONCORD AVE, CAMBRIDGE, MA 02138
(617) 864-1966
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4167
MA
103TC0700X
Clinical Psychologist
4167
MA
103TC1900X
Counseling Psychologist
4167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0524182
—
MA
01
—
W04110
BCBS
MA
Enumeration date
01/03/2007
Last updated
08/31/2010
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