Individual
DR. IRA H REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
347 BROADWAY, PROVIDENCE, RI 02909-1101
(401) 782-8440
Mailing address
347 BROADWAY, PROVIDENCE, RI 02909-1101
(401) 782-8440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
407
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3593-6
RI BC/BS PRIVDER NUMBER
RI
05
—
IR00380
—
RI
Enumeration date
10/17/2006
Last updated
07/09/2007
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