Provider Demographics
NPI:1508203126
Name:REIMERS, FAYE A (PHD)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:A
Last Name:REIMERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51044
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-1044
Mailing Address - Country:US
Mailing Address - Phone:940-441-3637
Mailing Address - Fax:
Practice Address - Street 1:2101 COLORADO BLVD
Practice Address - Street 2:51044
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76206
Practice Address - Country:US
Practice Address - Phone:940-441-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36224103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist