Provider Demographics
NPI:1558309641
Name:REUTER, DAVID WILLIAM (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAM
Last Name:REUTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 COUNTY ROAD 3027
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-8851
Mailing Address - Country:US
Mailing Address - Phone:479-253-6917
Mailing Address - Fax:479-253-4991
Practice Address - Street 1:2580 COUNTY ROAD 3027
Practice Address - Street 2:
Practice Address - City:EUREKA SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72632-8851
Practice Address - Country:US
Practice Address - Phone:479-253-6917
Practice Address - Fax:479-253-4991
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9107011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W545OtherBLUE SHIELD PROVIDER #