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Individual

MR. JEFFREY WILLIAM RINEHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPA

Contact information

Practice address
2235 LEWISVILLE CLEMMONS RD STE A, CLEMMONS, NC 27012-9342
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST STE 100, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2387
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046AP
BLUE CROSS BLUE SHIELD
NC
05
6107177
NC
Enumeration date
07/19/2006
Last updated
05/04/2023
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