| Brenda K Oreilly Phd Professional Llc | |
|
2629 Redwing Rd Suite 316 Fort Collins CO 80526 | |
| (970) 613-4172 | |
| (970) 223-1325 |
| Full Name | Brenda K Oreilly Phd Professional Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2629 Redwing Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Brenda K Oreilly (PRESIDENT) |
| Authorized Official Contact | 9706134172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda K Oreilly Phd Professional Llc 2629 Redwing Rd Suite 316 Fort Collins CO 80526 Ph: (970) 613-4172 | Brenda K Oreilly Phd Professional Llc 2629 Redwing Rd Suite 316 Fort Collins CO 80526 Ph: (970) 613-4172 |
| NPI Number | 1851442545 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/25/2011 |
| Medicare PECOS PAC ID | 5294744272 |
|---|---|
| Medicare Enrollment ID | O20060419000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851442545 | NPI | - | NPPES |
| 47036362 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1767 (Colorado) | Primary |
| Provider Name | Brenda K Oreilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225222854 PECOS PAC ID: 3375552359 Enrollment ID: I20060420000080 |
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