Provider Demographics
NPI:1073964235
Name:KOST, REYA (PSYD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:REYA
Middle Name:
Last Name:KOST
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2327
Mailing Address - Country:US
Mailing Address - Phone:858-750-9016
Mailing Address - Fax:
Practice Address - Street 1:1307 STRATFORD CT
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2327
Practice Address - Country:US
Practice Address - Phone:858-750-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT53039106H00000X
CA30795103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist