Provider Demographics
NPI:1356320964
Name:REINA, BRYN JOI HAASE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYN
Middle Name:JOI HAASE
Last Name:REINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PSC 836, BOX 0374
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09636
Mailing Address - Country:US
Mailing Address - Phone:3909-556-4840
Mailing Address - Fax:3909-556-4864
Practice Address - Street 1:PSC 836, BOX 0374
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09636
Practice Address - Country:US
Practice Address - Phone:3909-556-4840
Practice Address - Fax:3909-556-4864
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010565862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry