Healthcare Provider Details

I. General information

NPI: 1932229572
Provider Name (Legal Business Name): LEWIS DENNISON REED PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4710 NW BOCA RATON BLVD SUITE 104
BOCA RATON FL
33431-4879
US

IV. Provider business mailing address

1169 HILLSBORO MILE APT. 705
HILLSBORO BEACH FL
33062-1623
US

V. Phone/Fax

Practice location:
  • Phone: 954-427-8883
  • Fax: 954-427-3813
Mailing address:
  • Phone: 954-427-8883
  • Fax: 954-427-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY3365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: