Provider Demographics
NPI:1316603335
Name:REICHWALD, ALAINA SHAPIRO (LMFT)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:SHAPIRO
Last Name:REICHWALD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10640 MOUGLE LN
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-6102
Mailing Address - Country:US
Mailing Address - Phone:530-448-3664
Mailing Address - Fax:
Practice Address - Street 1:10775 PIONEER TRL
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0232
Practice Address - Country:US
Practice Address - Phone:530-448-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT33874106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist