| Doctor Name: | DENIECE REID |
| NPI Number: | 1073706933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DMIN, LCSW |
| License Number: | 44SC00834900 |
| Business Practice Address: | 205 Smith St Perth Amboy, NJ - 088614323 |
| Business Phone Number: | 7325854040 |
| Business Fax Number: | 7326380750 |
| Mailing Address: | 205 Smith St, PERTH AMBOY |
| State: | NJ |
| Postal Code: | 088614323 |
| Phone Number: | 7325854040 |
| Fax Number: | 7326380750 |
| NPI Enumeration Date: | 08/23/2007 |
| NPI Last Update Date: | 08/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 44SC00834900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |