Doctor Name: | VIRGINIA D REIBER |
NPI Number: | 1164464855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 6981 |
Business Practice Address: | 601 High St Suite 204 Dedham, MA - 020261854 |
Business Phone Number: | 7813520930 |
Business Fax Number: | 7813291183 |
Mailing Address: | 601 High St, Suite 204 DEDHAM |
State: | MA |
Postal Code: | 020261854 |
Phone Number: | 7813520930 |
Fax Number: | 7813291183 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |