Doctor Name: | MRS. TERRI LYNNE HEWETT REITER |
NPI Number: | 1699826818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LADC |
License Number: | LC 3422 |
Business Practice Address: | 338 Water St Hallowell, ME - 043471510 |
Business Phone Number: | 2078318690 |
Business Fax Number: | 2072932310 |
Mailing Address: | 142 Hovey Luce Rd, MOUNT VERNON |
State: | ME |
Postal Code: | 043523319 |
Phone Number: | 2078318690 |
Fax Number: | 2072932310 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LC 3422 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |