Individual
DR. KENNETH I. REICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1105 MASSACHUSETTS AVE, SUITE 3 F, CAMBRIDGE, MA 02138-5220
(617) 492-0280
(617) 489-3857
Mailing address
54 ELIZABETH RD, BELMONT, MA 02478-3821
(617) 492-0280
(617) 489-3857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2245
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W02397
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/03/2007
Last updated
07/08/2007
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