MEDICARE: DR. PAIGE RHINE 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
1	102L00000X	Psychoanalyst	PSY 7056	CA

General Provider Information

NPI Number	:	1285849158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAIGE RHINE PH.D.

Provider Business Mailing Address
First Line	:	601 DOVER DR STE 11
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-5700
Country	:	US
Telephone Number	:	949-646-4833
Fax Number	:	949-646-4487

Provider Business Practice Location Address
First Line	:	601 DOVER DR STE 11
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-5700
Country	:	US
Telephone Number	:	949-646-4833
Fax Number	:	949-646-4487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2007
Last Update Date	:	07/08/2007

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