MEDICARE: DR. KAITLIN ELIZABETH RIEGLER PHD

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	103TC0700X	Clinical Psychologist	35SI00774900	NJ

General Provider Information

NPI Number	:	1972390854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAITLIN ELIZABETH RIEGLER PHD

Provider Business Mailing Address
First Line	:	37 BURLINGTON DR
Second Line	:
City	:	MARLBORO
State	:	NJ
Zip	:	07746-2610
Country	:	US
Telephone Number	:	908-839-7932
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CANAL POINTE BLVD STE 210
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	609-895-1070
Fax Number	:

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

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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