Provider Demographics
NPI:1770076093
Name:EHRENREICH, SHEYNA YEHUDIS (MSED)
Entity type:Individual
Prefix:
First Name:SHEYNA
Middle Name:YEHUDIS
Last Name:EHRENREICH
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 LANETT AVE # 2
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5539
Mailing Address - Country:US
Mailing Address - Phone:646-678-0060
Mailing Address - Fax:
Practice Address - Street 1:802 LANETT AVE # 2
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5539
Practice Address - Country:US
Practice Address - Phone:646-678-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool