Basic Information
Provider Information
NPI: 1467893537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REUTHER
FirstName: ERIN
MiddleName: T
NamePrefix:  
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 62243
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701622243
CountryCode: US
TelephoneNumber: 5044121580
FaxNumber: 5044121530
Practice Location
Address1: 3450 CHESTNUT ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701152443
CountryCode: US
TelephoneNumber: 5044121580
FaxNumber: 5044121530
Other Information
ProviderEnumerationDate: 07/17/2013
LastUpdateDate: 07/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X1209LAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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