Healthcare Provider Details

I. General information

NPI: 1235537838
Provider Name (Legal Business Name): AMY REIHMAN M.S., TLMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2014
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 KIRKWOOD BLVD SW
CEDAR RAPIDS IA
52404-5216
US

IV. Provider business mailing address

5400 KIRKWOOD BLVD SW
CEDAR RAPIDS IA
52404-5216
US

V. Phone/Fax

Practice location:
  • Phone: 319-784-2105
  • Fax:
Mailing address:
  • Phone: 319-784-2105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number074699
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: