Healthcare Provider Details

I. General information

NPI: 1700785342
Provider Name (Legal Business Name): SUMMER REIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 LONETREE BLVD
ROCKLIN CA
95765-5874
US

IV. Provider business mailing address

2133 HANNAH WAY
ROCKLIN CA
95765-4780
US

V. Phone/Fax

Practice location:
  • Phone: 916-701-6417
  • Fax:
Mailing address:
  • Phone: 916-701-6417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number240190623
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: