Reetz, David R

Reetz, David R is an sole proprietor health care provider with primary practice located at 204 N Geneva St , Ithaca NY 14850-4136. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Reetz, David R can be contacted via phone (812) 599-8392.

Contact Information

Primary practice address
204 N Geneva St Ithaca NY 14850-4136
Phone: (812) 599-8392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071008499 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20042444A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 022642 New York

Profile Details

NPI number 1336404797
LBN Legal business name Reetz, David R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Oct 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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