Individual
DR. JUDITH ANN REIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
128 NEWPORT DR, INDIANA, PA 15701-2418
(724) 464-2252
(724) 463-1174
Mailing address
PO BOX 2016, 128 NEWPORT DRIVE, INDIANA, PA 15701-5516
(724) 464-2252
(724) 463-1174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007397L
PA
103TC0700X
Clinical Psychologist
Primary
PS007397L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS007397L
PA
103TF0000X
Family Psychologist
PS007397L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS007397L
PA
Other
Enumeration date
05/12/2007
Last updated
06/22/2015
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