Provider Demographics
NPI:1053071498
Name:REICHART, KAITLIN (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:REICHART
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 MUMMASBURG RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7464
Mailing Address - Country:US
Mailing Address - Phone:717-479-6721
Mailing Address - Fax:
Practice Address - Street 1:1945 MUMMASBURG RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7464
Practice Address - Country:US
Practice Address - Phone:717-479-6721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional