Provider Demographics
NPI:1073672523
Name:REIFF, PATRICIA LEE (MSPA,CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LEE
Last Name:REIFF
Suffix:
Gender:F
Credentials:MSPA,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W MAIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2019
Mailing Address - Country:US
Mailing Address - Phone:215-855-4217
Mailing Address - Fax:215-855-2240
Practice Address - Street 1:100 W MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2019
Practice Address - Country:US
Practice Address - Phone:215-855-4217
Practice Address - Fax:215-855-2240
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000349L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist