Provider Demographics
NPI:1467801373
Name:REESER, HILDA
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:REESER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:REESER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:545 ROSEWOOD CT
Mailing Address - Street 2:APT F
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4067
Mailing Address - Country:US
Mailing Address - Phone:321-652-9349
Mailing Address - Fax:
Practice Address - Street 1:545 ROSEWOOD CT
Practice Address - Street 2:APT F
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4067
Practice Address - Country:US
Practice Address - Phone:321-652-9349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker