| Doctor Name: | MS. CARRIE R REISS |
| NPI Number: | 1265670814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8380 |
| Business Practice Address: | 10 Langley Rd Suite 401 Newton Centre, MA - 024591972 |
| Business Phone Number: | 7817740839 |
| Business Fax Number: | |
| Mailing Address: | 10 Langley Rd, Suite 401 NEWTON CENTRE |
| State: | MA |
| Postal Code: | 024591972 |
| Phone Number: | 7817740839 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |