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NPI Code Detail

MEDICARE: DR. DAVID JOHN REINHARDT PH.D.

MEDICARE:  DR. DAVID JOHN REINHARDT  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
1103TC0700XClinical PsychologistPSY14812CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407849128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JOHN REINHARDT PH.D.
Provider Business Mailing Address
First Line : 3008 OSTROM AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-4227
Country : US
Telephone Number : 562-938-9598
Fax Number :
Provider Business Practice Location Address
First Line : 3008 OSTROM AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-4227
Country : US
Telephone Number : 562-938-9598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2005
Last Update Date : 07/09/2007

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Directions to “ DR. DAVID JOHN REINHARDT PH.D.” Practice Location

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