Individual provider · Type 1 NPI

Michaela Fraser Reilly

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1639770472 Active

Practice location

3301 E 12th St
Oakland, CA 94601-3424

Call (510) 269-9030 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639770472

Michaela Fraser Reilly's National Provider Identifier is 1639770472, issued on Nov 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Aug 25, 2023.