Provider Demographics
NPI:1720383912
Name:REICHENFELD, STEPHANIE ASHELY
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:ASHELY
Last Name:REICHENFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6929 BASSWOOD PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-1665
Mailing Address - Country:US
Mailing Address - Phone:909-552-0738
Mailing Address - Fax:
Practice Address - Street 1:6929 BASSWOOD PL
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-1665
Practice Address - Country:US
Practice Address - Phone:909-552-0738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist