MEDICARE: KAYLA REEDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588485452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA REEDER

Provider Business Mailing Address
First Line	:	300 CHERRY ST APT 4F
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-5928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 CHERRY ST APT 4F
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-5928
Country	:	US
Telephone Number	:	610-405-0919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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Directions to “ KAYLA REEDER ” Practice Location

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