Provider Demographics
NPI:1831243302
Name:REICHER, LIN (EDD)
Entity type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:REICHER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ARROW ST
Mailing Address - Street 2:SUITE, 210
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5105
Mailing Address - Country:US
Mailing Address - Phone:617-491-1747
Mailing Address - Fax:
Practice Address - Street 1:12 ARROW STREER
Practice Address - Street 2:SUITE, 210
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-3835
Practice Address - Country:US
Practice Address - Phone:617-491-1747
Practice Address - Fax:617-527-0905
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2772103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical