MEDICARE: STYLIANI REINHARDT PSY.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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265045538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STYLIANI REINHARDT PSY.D.

Provider Business Mailing Address
First Line	:	30 HOLDEN ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01605-3150
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	793 WASHINGTON ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-3023
Country	:	US
Telephone Number	:	781-205-9891
Fax Number	:

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

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	12/12/2023

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