Healthcare Provider Details

I. General information

NPI: 1033209325
Provider Name (Legal Business Name): MADELEINE REICHERT D.M.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 LYNN BATTS SUITE 11
SAN ANTONIO TX
78218-3078
US

IV. Provider business mailing address

21 LYNN BATTS SUITE 11
SAN ANTONIO TX
78218-3078
US

V. Phone/Fax

Practice location:
  • Phone: 210-829-1994
  • Fax: 210-829-8788
Mailing address:
  • Phone: 210-829-1994
  • Fax: 210-829-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number23749
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number23749
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: