| Doctor Name: | PAUL JAMES REISER |
| NPI Number: | 1053479469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PSY6597 |
| Business Practice Address: | 1761 Broadway St Kaiser Permanente Suite 100 Vallejo, CA - 945892226 |
| Business Phone Number: | 7076452700 |
| Business Fax Number: | |
| Mailing Address: | 1761 Broadway St, Kaiser Permanente Suite 100 VALLEJO |
| State: | CA |
| Postal Code: | 945892226 |
| Phone Number: | 7076452700 |
| Fax Number: | 7076452181 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 08/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY6597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |