Doctor Name: | DR. SUSANNE REED |
NPI Number: | 1972873396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 292 Buchanan Trl G Mc Connellsburg, PA - 172338278 |
Business Phone Number: | 7174149695 |
Business Fax Number: | |
Mailing Address: | 3231 Cito Rd, BIG COVE TANNERY |
State: | PA |
Postal Code: | 172129616 |
Phone Number: | 7174149695 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2012 |
NPI Last Update Date: | 01/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |