Provider Demographics
NPI:1053506170
Name:HINITZ, DEAN RICHARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:RICHARD
Last Name:HINITZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 HASKELL ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2815
Mailing Address - Country:US
Mailing Address - Phone:775-348-8558
Mailing Address - Fax:775-348-8588
Practice Address - Street 1:1065 HASKELL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2815
Practice Address - Country:US
Practice Address - Phone:775-348-8558
Practice Address - Fax:775-348-8588
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY209103T00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center