Provider Demographics
NPI:1376833764
Name:WEIXLER, RENI (MA, LPC)
Entity Type:Individual
Prefix:
First Name:RENI
Middle Name:
Last Name:WEIXLER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-2209
Mailing Address - Country:US
Mailing Address - Phone:717-821-7999
Mailing Address - Fax:
Practice Address - Street 1:399 E ROSEBUD RD
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-1940
Practice Address - Country:US
Practice Address - Phone:717-821-7999
Practice Address - Fax:717-863-9556
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005743101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor