Provider Demographics
NPI:1205929932
Name:REINHARDT, MARNI LYNN BREGMAN
Entity type:Individual
Prefix:MRS
First Name:MARNI
Middle Name:LYNN BREGMAN
Last Name:REINHARDT
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 1:1400 BRISTOL ST N
Mailing Address - Street 2:SUITE 245B
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2911
Mailing Address - Country:US
Mailing Address - Phone:949-484-5240
Mailing Address - Fax:
Practice Address - Street 1:1400 BRISTOL ST N
Practice Address - Street 2:SUITE 245B
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2911
Practice Address - Country:US
Practice Address - Phone:949-484-5240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health