Provider Demographics
NPI:1376989780
Name:REICHENBERG, JUDYTH (ND)
Entity Type:Individual
Prefix:DR
First Name:JUDYTH
Middle Name:
Last Name:REICHENBERG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 4TH AVE N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3199
Mailing Address - Country:US
Mailing Address - Phone:425-774-5599
Mailing Address - Fax:866-279-6643
Practice Address - Street 1:123 4TH AVE N
Practice Address - Street 2:SUITE 2
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3199
Practice Address - Country:US
Practice Address - Phone:425-774-5599
Practice Address - Fax:866-279-6643
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA431175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath