Provider Demographics
NPI:1134964125
Name:REIMER, DINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:REIMER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29834 N CAVE CREEK RD # 118-241
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5836
Mailing Address - Country:US
Mailing Address - Phone:480-563-3587
Mailing Address - Fax:
Practice Address - Street 1:4143 E ANDREA DR
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2635
Practice Address - Country:US
Practice Address - Phone:480-563-3587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-003501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical