Individual
DR. M. BERNADETTE REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
37 FRENCH RD, ROCHESTER, NY 14618-3825
(585) 248-3997
(866) 810-2824
Mailing address
37 FRENCH RD, ROCHESTER, NY 14618-3825
(585) 248-3997
(866) 810-2824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009225
NY
103TC2200X
Clinical Child & Adolescent Psychologist
009225
NY
103TH0004X
Health Psychologist
009225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11848344
CAQH
NY
Enumeration date
05/30/2008
Last updated
06/12/2008
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