Doctor Name: | AUBRIE LYNN REEDY |
NPI Number: | 1356742811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LPC008565 |
Business Practice Address: | 109 Meadows Dr St Simons Island, GA - 315221806 |
Business Phone Number: | 9124346439 |
Business Fax Number: | 9123301074 |
Mailing Address: | 109 Meadows Dr, ST SIMONS ISLAND |
State: | GA |
Postal Code: | 315221806 |
Phone Number: | 9124346439 |
Fax Number: | 9123301074 |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC008565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |