Doctor Name: | JARROD L REICHELT |
NPI Number: | 1477825388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A |
License Number: | 2536 |
Business Practice Address: | 304 N. Jefferson St. Iola, KS - 66749 |
Business Phone Number: | 6203655717 |
Business Fax Number: | |
Mailing Address: | 304 N Jefferson St., IOLA |
State: | KS |
Postal Code: | 66749 |
Phone Number: | 3193250009 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |