| Dr. Dawn Reilly, L.l.c. | |
|
817 S University Dr Suite 121 Plantation FL 33324-3309 | |
| (954) 993-3838 | |
| (954) 343-1147 |
| Full Name | Dr. Dawn Reilly, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 817 S University Dr, Plantation, Florida |
| Authorized Official Name and Position | Dawn Reilly (OWNER) |
| Authorized Official Contact | 9549933838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dawn Reilly, L.l.c. 817 S University Dr Suite 121 Plantation FL 33324-3309 Ph: (954) 993-3838 | Dr. Dawn Reilly, L.l.c. 817 S University Dr Suite 121 Plantation FL 33324-3309 Ph: (954) 993-3838 |
| NPI Number | 1306184395 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 01/25/2013 |
| Medicare PECOS PAC ID | 4789828625 |
|---|---|
| Medicare Enrollment ID | O20130916000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306184395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6099 (Florida) | Primary |
| Provider Name | Dawn M Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447319280 PECOS PAC ID: 3971747783 Enrollment ID: I20131004000403 |
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