| Doctor Name: | MATTHEW BRADLEY REESE |
| NPI Number: | 1790783918 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LSW923 |
| Business Practice Address: | 1596 Highway 33 S New Tazewell, TN - 378257104 |
| Business Phone Number: | 4236262965 |
| Business Fax Number: | 4236262968 |
| Mailing Address: | Department 888182, KNOXVILLE |
| State: | TN |
| Postal Code: | 379950001 |
| Phone Number: | 8003553565 |
| Fax Number: | 4237142355 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 08/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |