Provider Demographics
NPI:1225216963
Name:PSYCHOLOGICAL SUNRISE CENTER, PLLC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SUNRISE CENTER, PLLC
Other - Org Name:DR. DINA REIMER, PSYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPIETOR/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:REIMER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:480-563-3587
Mailing Address - Street 1:29834 N CAVE CREEK RD
Mailing Address - Street 2:SUITE 118 PMB-241
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5836
Mailing Address - Country:US
Mailing Address - Phone:480-563-3587
Mailing Address - Fax:
Practice Address - Street 1:4143 E ANDREA DR
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2635
Practice Address - Country:US
Practice Address - Phone:480-563-3587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty