Provider Demographics
NPI:1598332900
Name:REITER, ELEANOR (LPC, NCC, CCTP, CFTP)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:REITER
Suffix:
Gender:F
Credentials:LPC, NCC, CCTP, CFTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:FLEETWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19522-9615
Mailing Address - Country:US
Mailing Address - Phone:610-944-4327
Mailing Address - Fax:610-987-0668
Practice Address - Street 1:63 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:PA
Practice Address - Zip Code:19522-9615
Practice Address - Country:US
Practice Address - Phone:610-987-0668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-06
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013127101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional