Dr. Lori Reineke, Ph.D.
Psychologist, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1790765170
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1790765170
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lori Reineke
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2006
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301009314 | MI | Yes |
| 103T00000X | Psychologist | – | – |
Practice location
2020 Raybrook St Se Ste 308Grand Rapids, MI 49546-7717
Phone 616-940-3331 · Fax 616-551-2895
Mailing address
2020 Raybrook St Se Ste 308Grand Rapids, MI 49546-7717
Phone 616-649-1010 · Fax 616-551-2895
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