Individual
DR. PATRICIA COWAN REINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17 EDGEWOOD RD, LEXINGTON, MA 02420-3524
(781) 862-0747
(781) 862-0636
Mailing address
17 EDGEWOOD RD, LEXINGTON, MA 02420-3524
(781) 862-0747
(781) 862-0636
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE #2972
MA LICENSED PSYCHOLOGIST
MA
01
—
WO3610
BLUECROSSBLUESHIELD OF MA
MA
Enumeration date
12/28/2006
Last updated
07/08/2007
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