| Doctor Name: | DR. SANDI REIKEN |
| NPI Number: | 1306926696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, PHD |
| License Number: | 35S100282600 |
| Business Practice Address: | 170 Changebridge Rd Suite C-4 Montville, NJ - 070459115 |
| Business Phone Number: | 9738080038 |
| Business Fax Number: | 9738089338 |
| Mailing Address: | 280 Powerville Rd, BOONTON |
| State: | NJ |
| Postal Code: | 070059152 |
| Phone Number: | 9734024855 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35S100282600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |