| Doctor Name: | DR. KIRBY K. REUTTER |
| NPI Number: | 1932544590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD. LMHC |
| License Number: | 39002367A |
| Business Practice Address: | 14505 Klopfenstein Road Leo, IN - 46765 |
| Business Phone Number: | 2606272159 |
| Business Fax Number: | 2606273601 |
| Mailing Address: | Po Box 125, 14505 Klopfenstein Road, LEO |
| State: | IN |
| Postal Code: | 46765 |
| Phone Number: | 2606272159 |
| Fax Number: | 2606273601 |
| NPI Enumeration Date: | 05/08/2013 |
| NPI Last Update Date: | 05/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39002367A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |