Provider Demographics
NPI:1104161413
Name:RINEHART, SYLVIA JANE (PHD)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:JANE
Last Name:RINEHART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:RINEHART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:220 DIVISION ST S
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-2046
Mailing Address - Country:US
Mailing Address - Phone:507-645-9304
Mailing Address - Fax:507-645-6151
Practice Address - Street 1:220 DIVISION ST S
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-2046
Practice Address - Country:US
Practice Address - Phone:507-645-9304
Practice Address - Fax:507-645-6151
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP2734103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling