Individual
DR. BRENDA K. O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2629 REDWING RD, SUITE 316, FORT COLLINS, CO 80526-6315
(970) 613-4172
(970) 223-1325
Mailing address
2629 REDWING RD, SUITE 316, FORT COLLINS, CO 80526-6315
(970) 613-4172
(970) 223-1325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47036362
—
CO
Enumeration date
08/27/2007
Last updated
10/08/2007
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