Healthcare Provider Details

I. General information

NPI: 1952572877
Provider Name (Legal Business Name): DON EDWARD REED MSW LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 WALNUT STREET #201
BOULDER CO
80302
US

IV. Provider business mailing address

1634 WALNUT STREET #201
BOULDER CO
80302
US

V. Phone/Fax

Practice location:
  • Phone: 303-440-4062
  • Fax: 303-440-6244
Mailing address:
  • Phone: 303-440-4062
  • Fax: 303-440-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number678248
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: