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DR. THOMAS PETER REILLY PHD

Clinical Neuropsychologist

Burlington, Vermont

Provider NPI: 1245226075

Provider Information:
DR. THOMAS PETER REILLY PHD
Gender: M


Practice Location:
92 ADAMS ST  BURLINGTON, VT 05401 US
Tel: 802-651-7533  Fax: --

Business Mailing Address:
92 ADAMS ST  BURLINGTON, VT 05401 US
Tel: 802-651-7533  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VT048 0000298

Other Provider Identifiers:

IssuerNumberStateType
MVP96623301
5432VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS VT - Page 1



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