Reisboard, Richard Jay

Reisboard, Richard Jay is an sole proprietor health care provider with primary practice located at 119 Coulter Ave Suite 101, Ardmore PA 19003-2427. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Reisboard, Richard Jay can be contacted via phone (215) 896-8666.

Contact Information

Primary practice address
119 Coulter Ave Suite 101 Ardmore PA 19003-2427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002257-L Pennsylvania

Profile Details

NPI number 1922268671
LBN Legal business name Reisboard, Richard Jay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2008
Last updated Jun 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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