Provider Demographics
NPI:1154586907
Name:REINBERG, LINDA LOUISE (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LOUISE
Last Name:REINBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 12TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4442
Mailing Address - Country:US
Mailing Address - Phone:636-390-4422
Mailing Address - Fax:636-390-4449
Practice Address - Street 1:200 W 12TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4442
Practice Address - Country:US
Practice Address - Phone:636-390-4422
Practice Address - Fax:636-390-4449
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01362103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling