Individual
BRIAN JAMES REISENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 E PRINCESS DR STE 100, SCOTTSDALE, AZ 85255-5481
(480) 299-1965
Mailing address
22118 N LAS POSITAS DR, SUN CITY WEST, AZ 85375-6826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-005858
AZ
Other
Enumeration date
11/19/2024
Last updated
11/27/2024
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