Doctor Name: | SHELBY REEDER |
NPI Number: | 1275994956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 31947 Little Flock Circle Walker, LA - 70785 |
Business Phone Number: | 2257177115 |
Business Fax Number: | |
Mailing Address: | 31974 Little Flock Cir, WALKER |
State: | LA |
Postal Code: | 707854628 |
Phone Number: | 2257177115 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |