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General NPI Number Information
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NPI Number | 1881776870
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Entity Type | Organization
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Legal Business Name | STEVEN REISLER PSY D PA
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 5300 ATLANTIC AVE STE 408
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City | DELRAY BEACH
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State | FL
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Zip | 33484
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Country | US
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Telephone | 561-239-4062
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 ATLANTIC AVE STE 408
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8141
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Country | US
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Telephone | 561-239-4062
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. STEVEN REISLER
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Credential | PSY.D.
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Telephone | 561-239-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 7338
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License Number State | FL
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