Kevin J O'Reilly in New London - Psychologist
Kevin J O'Reilly - NPI 1124114756
Kevin J O'Reilly is a Psychologist in New London, Connecticut. Kevin J O'Reilly practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kevin J O'Reilly is 1124114756. The last update date is 2007-07-08.
Kevin J O'Reilly's current location address is 400 Bayonet St., New London, Connecticut. You can contact this provider via phone number 8604434163 and fax number 8604373926. The mailing address for Kevin J O'Reilly is 400 Bayonet St., New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J O'Reilly |
|---|---|
| Address | 400 Bayonet St., New London, Connecticut |
| Phone Number | 8604434163 |
| Fax Number | 8604373926 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124114756 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Bayonet St. |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 6320 |
| Phone Number | 8604434163 |
| Fax Number | 8604373926 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1518 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Kevin J O'Reilly by the Centers for Medicare & Medicaid Services?
The Kevin J O'Reilly has been issued the NPI (National Provider Identifier) 1124114756. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin J O'Reilly is physically located?
The Kevin J O'Reilly is situated at the following address: 400 Bayonet St., New London, CT 6320.
What is Kevin J O'Reilly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin J O'Reilly's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Kevin J O'Reilly receive the assignment of its 1124114756 from the Centers for Medicare & Medicaid Services?
The Kevin J O'Reilly was issued its 1124114756 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information pertaining to Kevin J O'Reilly most recently updated or revised?
The details related to Kevin J O'Reilly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.