Healthcare Provider Details

I. General information

NPI: 1962425470
Provider Name (Legal Business Name): DAVID NORMAN REED PH.D., MFT, CEAP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23046 AVENIDA DE LA CARLOTA SUITE 600
LAGUNA HILLS CA
92653-1548
US

IV. Provider business mailing address

PO BOX 2606
LAGUNA HILLS CA
92654-2606
US

V. Phone/Fax

Practice location:
  • Phone: 800-664-5090
  • Fax: 949-460-6482
Mailing address:
  • Phone: 800-664-5090
  • Fax: 949-460-6482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCEAP 002100
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY14877
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT20970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: