| Doctor Name: | MARILYN CAROL REITENBACH |
| NPI Number: | 1043529613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 050769-1 |
| Business Practice Address: | 1402 N Cayuga St Ithaca, NY - 14850 |
| Business Phone Number: | 6072742194 |
| Business Fax Number: | |
| Mailing Address: | 1402 N Cayuga St, ITHACA |
| State: | NY |
| Postal Code: | 14850 |
| Phone Number: | 6072742194 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2010 |
| NPI Last Update Date: | 09/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 050769-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |