Doctor Name: | MS. ANN WEILER REEVES |
NPI Number: | 1245362151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 30643 |
Business Practice Address: | Navajo Route 12 Window Rock Schools Fort Defiance, AZ - 865040559 |
Business Phone Number: | 9287296760 |
Business Fax Number: | 9287296730 |
Mailing Address: | Po Box 378, FORT DEFIANCE |
State: | AZ |
Postal Code: | 865040378 |
Phone Number: | 9287292374 |
Fax Number: | 9287296730 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 30643 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |