Individual
DR. DENISE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
511 SAXONY PL STE 101-C, ENCINITAS, CA 92024-2871
(760) 635-3310
(760) 230-9291
Mailing address
PO BOX 895, CARDIFF BY THE SEA, CA 92007-0895
(760) 635-3310
(760) 230-9291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071007128
IL
103T00000X
Psychologist
20042124A
IN
103TC0700X
Clinical Psychologist
Primary
PSY29995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY29995
CA PSYCHOLOGY LICENSE NUMBER
CA
Enumeration date
10/03/2006
Last updated
04/04/2018
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