Healthcare Provider Details

I. General information

NPI: 1205302858
Provider Name (Legal Business Name): REEWORD BOOKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 SAINT CLAIR ST
DETROIT MI
48214-3671
US

IV. Provider business mailing address

1235 SAINT CLAIR ST
DETROIT MI
48214-3671
US

V. Phone/Fax

Practice location:
  • Phone: 313-402-9303
  • Fax:
Mailing address:
  • Phone: 313-402-9303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DARYA OWENS
Title or Position: FOUNDER
Credential:
Phone: 313-402-9303