National Provider Identifier
David R Reetz, PHD
David R Reetz, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Ithaca, NY and a listed phone number of (812) 599-8392.
Profile Overview
- NPI
- 1336404797
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- July 11, 2012
- Last Updated
- October 01, 2024
Practice Location
- 204 N Geneva St
- Ithaca, NY 14850-4136
Phone: (812) 599-8392
Specialties
- Psychologist (103T00000X)
- Psychologist (103T00000X)
Full Record
- NPI
- 1336404797
- Entity Type
- Individual
- Last Name
- Reetz
- First Name
- David
- Middle Name
- R
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 204 N Geneva St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4136
- Mailing Country
- US
- Practice Street Address
- 204 N Geneva St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4136
- Practice Country
- US
- Practice Phone
- (812) 599-8392
- Enumeration Date
- July 11, 2012
- Last Updated
- October 01, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X), Psychologist (103T00000X)