| Reine Evereteze, Psy.d., Llc | |
|
8015 W Alameda Ave Ste 230 Lakewood CO 80226-3076 | |
| (303) 202-6143 | |
| (303) 202-6146 |
| Full Name | Reine Evereteze, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8015 W Alameda Ave Ste 230, Lakewood, Colorado |
| Authorized Official Name and Position | Reine Evereteze (PSYCHOLOGIST) |
| Authorized Official Contact | 3039317137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reine Evereteze, Psy.d., Llc 8015 W Alameda Ave Ste 230 Lakewood CO 80226-3076 Ph: (303) 202-6143 | Reine Evereteze, Psy.d., Llc 8015 W Alameda Ave Ste 230 Lakewood CO 80226-3076 Ph: (303) 202-6143 |
| NPI Number | 1639607336 |
|---|---|
| Provider Enumeration Date | 05/25/2017 |
| Last Update Date | 07/10/2017 |
| Medicare PECOS PAC ID | 5890067201 |
|---|---|
| Medicare Enrollment ID | O20170821000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639607336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Reine Evereteze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386177392 PECOS PAC ID: 6709158116 Enrollment ID: I20180322000425 |
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