Charles J Reilly is a Clinical in Waban, Massachusetts. Charles J Reilly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles J Reilly is 1356301295. The last update date is 2014-05-22.
Charles J Reilly's current location address is 158 Upland Rd, Waban, Massachusetts. You can contact this provider via phone number 6175275561. The mailing address for Charles J Reilly is 158 Upland Rd, Waban, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles J Reilly |
|---|---|
| Address | 158 Upland Rd, Waban, Massachusetts |
| Phone Number | 6175275561 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1356301295 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 158 Upland Rd |
|---|---|
| City | Waban |
| State | Massachusetts (MA) |
| Post Code | 24682005 |
| Phone Number | 6175275561 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3037 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Charles J Reilly by the Centers for Medicare & Medicaid Services?
The Charles J Reilly has been assigned the NPI (National Provider Identifier) 1356301295. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles J Reilly's physical address?
The Charles J Reilly is physically located at 158 Upland Rd, in the city of Waban, MA, with the postal code 24682005.
What is the Charles J Reilly's area of specialization and corresponding taxonomy classification?
The Charles J Reilly's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1356301295 to Charles J Reilly?
The Charles J Reilly received its 1356301295 assignment from the Centers for Medicare & Medicaid Services on 2006-03-24.
When was the information regarding Charles J Reilly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles J Reilly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-05-22.