Doctor Name: | ALAN C. REIFERT |
NPI Number: | 1275745598 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LLP |
License Number: | 6301010936 |
Business Practice Address: | 995 Miller Rd Plainwell, MI - 490801077 |
Business Phone Number: | 2696859798 |
Business Fax Number: | 2696856975 |
Mailing Address: | 1143 N Peach Ct, PLAINWELL |
State: | MI |
Postal Code: | 490802013 |
Phone Number: | 2696859798 |
Fax Number: | 2696856975 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301010936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |