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NPI Code Detail

MEDICARE: DR. MARYANN REUTER PH.D.

MEDICARE: DR. MARYANN REUTER PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY24360CA

General Provider Information

NPI Number : 1659567030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYANN REUTER PH.D.
Provider Business Mailing Address
First Line : 16255 VENTURA BLVD STE 830
Second Line :
City : ENCINO
State : CA
Zip : 91436-2317
Country : US
Telephone Number : 704-780-4271
Fax Number :
Provider Business Practice Location Address
First Line : 9600 CENTER AVE STE 160
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-5838
Country : US
Telephone Number : 708-740-7241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2007
Last Update Date : 10/08/2024

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Directions to “ DR. MARYANN REUTER PH.D.” Practice Location

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