Individual
BRIAN PATRICK O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1560 CONGRESS LAKE RD, MOGADORE, OH 44260-1925
(330) 628-3515
Mailing address
1560 CONGRESS LAKE RD, MOGADORE, OH 44260-1925
(330) 628-3515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6469
OH
103TF0200X
Forensic Psychologist
6469
OH
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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