Basic Information
Provider Information
NPI: 1104935394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REUTER
FirstName: BARBARA
MiddleName: J
NamePrefix: MS.
NameSuffix:  
Credential: CMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: SAVAHCS 3-111H
Address2: 3601 S 6TH AVE
City: TUCSON
State: AZ
PostalCode: 857230001
CountryCode: US
TelephoneNumber: 5206291838
FaxNumber: 5206291758
Practice Location
Address1: SAVAHCS 3-111H
Address2: 3601 S 6TH AVE
City: TUCSON
State: AZ
PostalCode: 857230001
CountryCode: US
TelephoneNumber: 5206291838
FaxNumber: 5206291758
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000XLMSW10845AZY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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