MR. Edward William Reicks, PH,D,

NPI #1083768733 in Fullerton, California

Provider Information

NPI Number: 1083768733
Entity Type: Individual
Name: MR. Edward William Reicks, PH,D,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH,D,
Enumeration Date: Jan 22, 2007
Last Updated: Feb 2, 2012

Practice Location

Address: 1440 N HARBOR BLVD
Address 2: SUITE 127
City: Fullerton
State: California
ZIP Code: 92835-4114
Phone: (714) 879-7091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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