| Krista Reincke, Psy.d., Llc | |
|
86 Saint Paul St Ste 307 Burlington VT 05401-4958 | |
| (802) 735-7934 | |
| Not Available |
| Full Name | Krista Reincke, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 86 Saint Paul St Ste 307, Burlington, Vermont |
| Authorized Official Name and Position | Krista Marie Duffy Reincke (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8027357934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Reincke, Psy.d., Llc 354 Collamer Cir Shelburne VT 05482-6444 Ph: (802) 735-7934 | Krista Reincke, Psy.d., Llc 86 Saint Paul St Ste 307 Burlington VT 05401-4958 Ph: (802) 735-7934 |
| NPI Number | 1871119412 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Medicare PECOS PAC ID | 5597180026 |
|---|---|
| Medicare Enrollment ID | O20200731000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871119412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Krista Md Reincke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548456858 PECOS PAC ID: 2365429818 Enrollment ID: I20200731000171 |
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