Diane G Reilly, PhD
Psychologist, Clinical in Woburn, MA. Individual provider (NPI-1).
NPI number1821363615
StatusActive
Last updated in NPPESMar 13, 2012
Details
- NPI
- 1821363615
- Entity type
- Individual (NPI-1)
- Name
- Diane G Reilly
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2012
- Last updated
- Mar 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7734 | MA | Yes |
Practice location
12 Alfred StSuite 200
Woburn, MA 01801-1972
Phone 781-646-0500 · Fax 781-646-7130
Mailing address
12 Alfred StSuite 200
Woburn, MA 01801-1972
Phone 781-646-0500 · Fax 781-646-7130
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