Individual
DR. PATRICK MICHAEL REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3315 CHANATE ROAD, SANTA ROSA, CA 95404
(707) 570-3862
Mailing address
3315 CHANATE ROAD, SANTA ROSA, CA 95404
(707) 570-3862
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY13520
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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