Reider, Michael Robert

Reider, Michael Robert is an individual health care provider with primary practice located at 9750 Miramar Road Suite 210, San Diego CA 92126-4562. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reider, Michael Robert can be contacted via phone (888) 293-3182.

Contact Information

Primary practice address
9750 Miramar Road Suite 210 San Diego CA 92126-4562
Phone: (888) 293-3182
Fax: (888) 293-3182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13784 California

Profile Details

NPI number 1942299532
LBN Legal business name Reider, Michael Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Sep 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942299532 NPPES
California Other PSY137840 MEDI-CAL

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