Provider Demographics
NPI:1700693603
Name:REINDL, CHERYL JANE
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:JANE
Last Name:REINDL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 N BRUNS LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62702-4613
Mailing Address - Country:US
Mailing Address - Phone:217-793-2100
Mailing Address - Fax:
Practice Address - Street 1:232 N BRUNS LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-4613
Practice Address - Country:US
Practice Address - Phone:217-793-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst