Provider Demographics
NPI:1942973359
Name:REICH, MARCIA ROBIN (MA)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:ROBIN
Last Name:REICH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:REICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:6 WILLISON PARK RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-2694
Mailing Address - Country:US
Mailing Address - Phone:973-449-2100
Mailing Address - Fax:
Practice Address - Street 1:6 WILLISON PARK RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-2694
Practice Address - Country:US
Practice Address - Phone:973-449-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00347100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional