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Individual
DR. MICHAEL ROBERT REIDER
Active
Individual
DR. MICHAEL ROBERT REIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
10/17/2005
Last updated
09/14/2011
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