Kathryn Miller Reilly, PHD | |
19855 Outer Dr, 103b-w, Dearborn, MI 48124-2022 | |
(313) 359-1977 | |
Not Available |
Full Name | Kathryn Miller Reilly |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 31 Years |
Location | 19855 Outer Dr, Dearborn, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881718864 | NPI | - | NPPES |
11283769 | Other | MI | CAQH ID |
38-3304817 | Other | MI | TAX ID |
680H247650 | Other | MI | BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301008955 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kathryn Miller Phd Pc | 0042289274 | 10 |
Entity Name | Kathryn Miller Phd Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467664813 PECOS PAC ID: 0042289274 Enrollment ID: O20040924001038 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Miller Reilly, PHD 44242 Arlington Rd, Canton, MI 48187-2144 Ph: (734) 516-7424 | Kathryn Miller Reilly, PHD 19855 Outer Dr, 103b-w, Dearborn, MI 48124-2022 Ph: (313) 359-1977 |
Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657 | |
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750 | |
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064 | |
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653 | |
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053 |