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DR. DAVID CORY BRILLHART PSY.D.

Behavioral Health & Social Service Providers Psychologist

Provider NPI: 1700170818

Provider Information:
DR. DAVID CORY BRILLHART PSY.D.
Gender: M
Sole Proprietor

Practice Location:
189 LIBERTY ST., NE, SUITE 210A THE REED OPERA HOUSE SALEM, OR 97301 US
Tel: 503-400-7500  Fax: 503-581-1069

Business Mailing Address:
189 LIBERTY ST., NE, SUITE 210A THE REED OPERA HOUSE SALEM, OR 97301 US
Tel: 503-400-7500  Fax: 503-581-1069

NPI Information:
NPI: 1700170818
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
OR2162
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
OR2162
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
OR2162
N103TC1900XBehavioral Health & Social Service Providers
Psychologist
OR2162
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
OR2162
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
OR2162
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
OR2162

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103T00000X

Type:

Classification:



Definition:



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