Healthcare Provider Details

I. General information

NPI: 1285151787
Provider Name (Legal Business Name): MICHAEL REDING PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 MARKET ST STE 1102
SAN FRANCISCO CA
94104-5312
US

IV. Provider business mailing address

582 MARKET ST STE 1102
SAN FRANCISCO CA
94104-5312
US

V. Phone/Fax

Practice location:
  • Phone: 707-733-3381
  • Fax:
Mailing address:
  • Phone: 707-733-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number022302
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: