| Shoudt & Reilly Psychological Services, Llc | |
|
4730 Perkiomen Ave # A Reading PA 19606-9521 | |
| (610) 898-1370 | |
| (610) 898-1259 |
| Full Name | Shoudt & Reilly Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4730 Perkiomen Ave # A, Reading, Pennsylvania |
| Authorized Official Name and Position | Melissa E. D. Reilly (PSYCHOLOGIST) |
| Authorized Official Contact | 6108981370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoudt & Reilly Psychological Services, Llc 4730 Perkiomen Ave # A Reading PA 19606-9521 Ph: (610) 898-1370 | Shoudt & Reilly Psychological Services, Llc 4730 Perkiomen Ave # A Reading PA 19606-9521 Ph: (610) 898-1370 |
| NPI Number | 1841381142 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/02/2008 |
| Medicare PECOS PAC ID | 5698729457 |
|---|---|
| Medicare Enrollment ID | O20050304000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841381142 | NPI | - | NPPES |
| 1677265 | Other | PA | HIGHMARK BLUE SHIELD |
| 50005217 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Melissa Elizabeth Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770573818 PECOS PAC ID: 5496729287 Enrollment ID: I20040826000187 |
| Provider Name | Phillip J Tietbohl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922106715 PECOS PAC ID: 9335101831 Enrollment ID: I20041027000978 |
| Provider Name | Bethann Shoudt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265423362 PECOS PAC ID: 1951355718 Enrollment ID: I20050307000134 |
| Provider Name | Katie C Nerney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871789404 PECOS PAC ID: 1557420593 Enrollment ID: I20081106000198 |
| Provider Name | Julienne F Balestrier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639579832 PECOS PAC ID: 7214369982 Enrollment ID: I20210210002492 |
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