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NPI Code Detail

MEDICARE: REILAND PSYCH LLC

MEDICARE: REILAND PSYCH LLC
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 Psychologist

General Provider Information

NPI Number : 1871383547
Entity Type Code : Organization
Provider Name (Legal Business Name) : REILAND PSYCH LLC
Provider Business Mailing Address
First Line : 1314 S 1ST ST # 108
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-2405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3456 S NEW YORK AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-3732
Country : US
Telephone Number : 414-336-8484
Fax Number : 414-432-2531
Authorized Official
Title or Position : OWNER/SOLE MEMBER
Name : MATTHEW REILAND
Credential :
Telephone Number : 414-336-8484
Provider Enumeration Date : 05/07/2025
Last Update Date : 05/19/2026

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Directions to “REILAND PSYCH LLC ” Practice Location

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