Individual
DR. PHILIP L BRILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7700 OLD BRANCH AVE, STE B105, CLINTON, MD 20735-1628
(301) 934-8811
(301) 934-9321
Mailing address
7700 OLD BRANCH AVE, STE B105, CLINTON, MD 20735-1628
(301) 934-8811
(301) 934-9321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00628
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281092
KAISER
MD
01
—
289607
MAMSI/ALLIANCE/MDIPA/OP
MD
01
—
38160001
BLUE CROSS
DC
05
—
414910600
—
MD
01
—
460568000
MAGELLAN
MD
01
—
513212
NCPPO
MD
01
—
521255282
TRICARE
MD
01
—
G074PL
BLUE CROSS
MD
Enumeration date
06/22/2005
Last updated
03/03/2010
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