| Organization Name: | PSYCHOLOGICAL SUNRISE CENTER, PLLC |
| NPI Number: | 1225216963 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINA REIMER (SOLE PROPIETOR/MEMBER) |
| Mailing Address: | 4143 E Andrea Dr Cave Creek |
| State: | AZ US |
| Postal Code: | 853312635 |
| Phone Number: | 4805633587 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |