Mary B Reed is a Psychologist in Ellsworth Afb, South Dakota. Mary B Reed practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary B Reed is 1134156839. The last update date is 2018-05-08.
Mary B Reed's current location address is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can contact this provider via phone number 6053853656 and fax number 6053853115. The mailing address for Mary B Reed is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary B Reed |
|---|---|
| Address | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
| Phone Number | 6053853656 |
| Fax Number | 6053853115 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1134156839 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2018-05-08 |
Provider Mailing Address Detail
| Address | 2900 Doolittle Dr |
|---|---|
| City | Ellsworth Afb |
| State | South Dakota (SD) |
| Post Code | 577064821 |
| Phone Number | 6053853656 |
| Fax Number | 6053853115 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 332 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00070290 | MT | RAILROAD MEDICARE | |
| PSY-332 | MT | LICENSE | |
| 51911 | MT | BC/BS | |
| 491011 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary B Reed by the Centers for Medicare & Medicaid Services?
The Mary B Reed has been assigned the NPI (National Provider Identifier) 1134156839 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mary B Reed's facilities are situated?
The facilities of Mary B Reed are physically located at the following address: 2900 Doolittle Dr, Ellsworth Afb, SD, 577064821.
What is Mary B Reed's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary B Reed is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Mary B Reed receive the assignment of its 1134156839 from the Centers for Medicare & Medicaid Services?
The Mary B Reed was issued its 1134156839 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Mary B Reed most recently updated?
The details pertaining to the Mary B Reed, including its address, specialty, and other relevant information, were last refreshed on 2018-05-08.