Provider Demographics
NPI:1861914079
Name:REIDLER, ESTHER (PHD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:REIDLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 HUTCHINSON RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4406
Mailing Address - Country:US
Mailing Address - Phone:201-747-5071
Mailing Address - Fax:
Practice Address - Street 1:764 PALISADE AVE STE 1A
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3129
Practice Address - Country:US
Practice Address - Phone:201-747-5071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05807103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6140OtherPSYCHOLOGIST LICENSE ISSUED BY THE NEW JERSEY BOARD OF EXAMINERS OF PSYCHOLOGIST
MD05807OtherPSYCHOLOGIST LICENSE ISSUED BY BOARD OF PSYCHOLOGICAL EXAMINERS