Individual
BRYAN T REUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3209 VIRGINIA AVE, FORT PIERCE, FL 34981-5596
(772) 462-7981
Mailing address
3209 VIRGINIA AVE, FORT PIERCE, FL 34981-5596
(772) 462-7981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10408
FL
Other
Enumeration date
09/15/2020
Last updated
01/24/2021
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