Healthcare Provider Details

I. General information

NPI: 1073603270
Provider Name (Legal Business Name): BRITA S REED MD, PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITA SARDELLA

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 STIRLING BRIDGE RD
GROVETOWN GA
30813-5295
US

IV. Provider business mailing address

527 STIRLING BRIDGE RD
GROVETOWN GA
30813-5295
US

V. Phone/Fax

Practice location:
  • Phone: 802-649-3800
  • Fax:
Mailing address:
  • Phone: 802-649-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number042-0011202
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810005006
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY003856
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: