Doctor Name: | MURRAY REED |
NPI Number: | 1285791921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LP |
License Number: | LP2898 |
Business Practice Address: | 3490 Lexington Ave N Shoreview, MN - 551268074 |
Business Phone Number: | 6514863808 |
Business Fax Number: | 6514863858 |
Mailing Address: | 3490 Lexington Ave N, SHOREVIEW |
State: | MN |
Postal Code: | 551268074 |
Phone Number: | 6514863808 |
Fax Number: | 6514863858 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP2898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |