Provider Demographics
NPI:1356535512
Name:REICHERT, PATRICIA B (MED LPC-S)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:B
Last Name:REICHERT
Suffix:
Gender:F
Credentials:MED LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 NW MILITARY HWY STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2000
Mailing Address - Country:US
Mailing Address - Phone:512-633-9574
Mailing Address - Fax:210-302-6952
Practice Address - Street 1:12500 NW MILITARY HWY STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2000
Practice Address - Country:US
Practice Address - Phone:512-633-9574
Practice Address - Fax:210-302-6952
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13629101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional