Provider Demographics
NPI:1659754489
Name:REINER, DEENA RUTH
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:RUTH
Last Name:REINER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DEENA
Other - Middle Name:RUTH
Other - Last Name:FREI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 BERWICK DRIVE
Mailing Address - Street 2:APT. 38
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334
Mailing Address - Country:US
Mailing Address - Phone:570-406-3066
Mailing Address - Fax:
Practice Address - Street 1:110 SUMMIT HILLS DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1532
Practice Address - Country:US
Practice Address - Phone:864-582-5561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program