Doctor Name: | TRACY S REINHARDT |
NPI Number: | 1689849903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PY00003870 |
Business Practice Address: | 19987 1st Ave S Ste 101 Normandy Park, WA - 981482400 |
Business Phone Number: | 2067158640 |
Business Fax Number: | |
Mailing Address: | 19987 1st Ave S Ste 101, NORMANDY PARK |
State: | WA |
Postal Code: | 981482400 |
Phone Number: | 2067158640 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2008 |
NPI Last Update Date: | 02/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PY00003870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |