| Doctor Name: | DR. WILLARD E. REITZ |
| NPI Number: | 1346305018 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PS002143L |
| Business Practice Address: | 3909 Washington Rd Suite 318 Mcmurray, PA - 153172544 |
| Business Phone Number: | 7249414545 |
| Business Fax Number: | 7249417525 |
| Mailing Address: | 3909 Washington Rd, Suite 318 MCMURRAY |
| State: | PA |
| Postal Code: | 153172544 |
| Phone Number: | 7249414545 |
| Fax Number: | 7249417525 |
| NPI Enumeration Date: | 12/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS002143L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |