Individual
DIANE G REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 ALFRED ST, SUITE 200, WOBURN, MA 01801-1972
(781) 646-0500
(781) 646-7130
Mailing address
12 ALFRED ST, SUITE 200, WOBURN, MA 01801-1972
(781) 646-0500
(781) 646-7130
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7734
MA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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