Organization
REINEKE CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI REINEKE PH.D. (PRESIDENT)
(616) 649-1010
Entity
Organization
Contact information
Practice address
2020 RAYBROOK ST SE STE 308, GRAND RAPIDS, MI 49546-7717
(616) 649-1010
(616) 551-2895
Mailing address
2020 RAYBROOK ST SE STE 308, GRAND RAPIDS, MI 49546-7717
(616) 649-1010
(616) 551-2895
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301009314
MI
103TC0700X
Clinical Psychologist
6301009314
MI
Other
Enumeration date
05/27/2015
Last updated
04/21/2023
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