Provider Demographics
NPI:1467893537
Name:REUTHER, ERIN T (PHD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:T
Last Name:REUTHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 62243
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70162-2243
Mailing Address - Country:US
Mailing Address - Phone:504-412-1580
Mailing Address - Fax:504-412-1530
Practice Address - Street 1:3450 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2443
Practice Address - Country:US
Practice Address - Phone:504-412-1580
Practice Address - Fax:504-412-1530
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1209103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical