Reilly, Thomas Peter

Reilly, Thomas Peter is an individual health care provider with primary practice located at 92 Adams St , Burlington VT 05401-4525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Reilly, Thomas Peter can be contacted via phone (802) 651-7533.

Contact Information

Primary practice address
92 Adams St Burlington VT 05401-4525
Phone: (802) 651-7533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 048 0000298 Vermont

Profile Details

NPI number 1245226075
LBN Legal business name Reilly, Thomas Peter
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245226075 NPPES
Other 966233 MVP
MEDICAID 5432 MVP

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