Provider Demographics
NPI:1033209325
Name:REICHERT, MADELEINE (DMH)
Entity Type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:
Last Name:REICHERT
Suffix:
Gender:F
Credentials:DMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LYNN BATTS
Mailing Address - Street 2:SUITE 11
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-3078
Mailing Address - Country:US
Mailing Address - Phone:210-829-1994
Mailing Address - Fax:210-829-8788
Practice Address - Street 1:21 LYNN BATTS
Practice Address - Street 2:SUITE 11
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3078
Practice Address - Country:US
Practice Address - Phone:210-829-1994
Practice Address - Fax:210-829-8788
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23749103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist