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Organization
MICHAEL R. REIDER, PH.D., APC
Active
Organization
MICHAEL R. REIDER, PH.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT REIDER PH.D. (CLINICAL PSYCHOLOGIST/CEO)
(888) 293-3182
Entity
Organization
Contact information
Practice address
9750 MIRAMAR ROAD, SUITE 210, SAN DIEGO, CA 92126-4562
(888) 293-3182
(888) 293-3182
Mailing address
9750 MIRAMAR ROAD, SUITE 210, SAN DIEGO, CA 92126-4562
(888) 293-3182
(888) 293-3182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY137840
MEDI-CAL
CA
Enumeration date
07/10/2006
Last updated
10/11/2011
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