Organization
BRENDA K OREILLY PHD PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA K OREILLY PHD (PRESIDENT)
(970) 613-4172
Entity
Organization
Contact information
Practice address
2629 REDWING RD, SUITE 316, FORT COLLINS, CO 80526
(970) 613-4172
(970) 223-1325
Mailing address
2629 REDWING RD, SUITE 316, FORT COLLINS, CO 80526
(970) 613-4172
(970) 223-1325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1767
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47036362
—
CO
Enumeration date
01/16/2007
Last updated
07/25/2011
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