| Doctor Name: | MS. DOREEN PEREIRA REIS |
| NPI Number: | 1043310063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 03-408222 |
| Business Practice Address: | 162 West St Cromwell, CT - 064164404 |
| Business Phone Number: | 8606139930 |
| Business Fax Number: | 8606139952 |
| Mailing Address: | 321 Fortune Blvd, MILFORD |
| State: | MA |
| Postal Code: | 017571750 |
| Phone Number: | 5084780207 |
| Fax Number: | 5086346984 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 03-408222 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |