MEDICARE: DR. BRIGID M CAHILL PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	15693	NY
2	103T00000X	Psychologist	015693	NY

General Provider Information

NPI Number	:	1497795181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIGID M CAHILL PH.D.

Provider Business Mailing Address
First Line	:	TOWNE HOUSE 1325 MT. HOPE AVE
Second Line	:	UNIVERSITY COUNSELING CENTER
City	:	ROCHESTER
State	:	NY
Zip	:	14627
Country	:	US
Telephone Number	:	585-275-3113
Fax Number	:	585-442-0815

Provider Business Practice Location Address
First Line	:	TOWNE HOUSE 1325 MT. HOPE AVE
Second Line	:	UNIVERSITY COUNSELING CENTER
City	:	ROCHESTER
State	:	NY
Zip	:	14627
Country	:	US
Telephone Number	:	585-275-3113
Fax Number	:	585-442-0815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/05/2023

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