Provider Demographics
NPI:1316292410
Name:REIFER, CHERYL JEANNE (PHD, RD, LD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:JEANNE
Last Name:REIFER
Suffix:
Gender:F
Credentials:PHD, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 CAPE CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-6824
Mailing Address - Country:US
Mailing Address - Phone:972-335-9051
Mailing Address - Fax:
Practice Address - Street 1:4601 CAPE CHARLES DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-6824
Practice Address - Country:US
Practice Address - Phone:972-335-9051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80488133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered