Provider Demographics
NPI:1942312434
Name:SINGER, REANNE SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:REANNE
Middle Name:SUE
Last Name:SINGER
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 1:1056 E META ST STE 201
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-0033
Mailing Address - Country:US
Mailing Address - Phone:805-643-3061
Mailing Address - Fax:805-643-3061
Practice Address - Street 1:1056 E META STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-0033
Practice Address - Country:US
Practice Address - Phone:805-643-3061
Practice Address - Fax:805-643-3061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 6838103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist