Individual
MR. STEVEN J. REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1001 STATE ST FL 14, ERIE, PA 16501-1814
(814) 459-6858
(888) 424-8341
Mailing address
1001 STATE ST FL 14, ERIE, PA 16501-1814
(814) 459-6858
(888) 424-8341
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-006836-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS-006836-L
PSYCHOLOGIST
PA
Enumeration date
04/02/2007
Last updated
03/31/2015
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