1548598477 NPI number — ALISON EF REUTER PHD PLLC

Table of content: (NPI 1548598477)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548598477 NPI number — ALISON EF REUTER PHD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALISON EF REUTER PHD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548598477
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14402 N 58TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85254-3040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-570-1792
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13460 N 67TH AVE
Provider Second Line Business Practice Location Address:
HEALTHSOUTH VALLEY OF THE SUN REHAB
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85304-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-878-8800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
REUTER
Authorized Official First Name:
ALISON
Authorized Official Middle Name:
EF
Authorized Official Title or Position:
PSYCHOLOGIST
Authorized Official Telephone Number:
602-570-1792

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  3986 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1912195686 . This is a "INDIVIDUAL NPI NUMBER" identifier . This identifiers is of the category "OTHER".