Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | LP2734 | MN |
Y | 103T00000X | Psychologist | LP2734 | MN |
N | 103TC1900X | Counseling Psychologist | LP2734 | MN |
NPI | 1104161413 |
---|---|
Provider Name | Dr. Sylvia Jane Rinehart |
First Address | Northfield, MN 55057-2046 |
Second Address | Northfield, MN 55057-2046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2012 |
Last Update Date | 12/03/2013 |