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NPI Code Detail

MEDICARE: DEBRA C REICHER PH.D.

MEDICARE: DEBRA C REICHER PH.D.
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 Psychologist012156NY

General Provider Information

NPI Number : 1144473026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA C REICHER PH.D.
Provider Business Mailing Address
First Line : 24 BROADOAK LN
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5902
Country : US
Telephone Number : 516-520-6033
Fax Number :
Provider Business Practice Location Address
First Line : 750 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1328
Country : US
Telephone Number : 516-520-6033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2008
Last Update Date : 10/23/2008

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