Individual
DR. KIRBY K. REUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MSCP, LMHC
Contact information
Practice address
136 CLEAR WATER PASS, BASTROP, TX 78602-2434
(512) 788-5611
(512) 456-8124
Mailing address
136 CLEAR WATER PASS, BASTROP, TX 78602-2434
(512) 788-5611
(512) 456-8124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002367A
IN
103TC0700X
Clinical Psychologist
071.010833
IL
103TC0700X
Clinical Psychologist
Primary
37448
TX
103TC0700X
Clinical Psychologist
7158
OH
Other
Enumeration date
05/08/2013
Last updated
09/16/2025
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