Healthcare Provider Details

I. General information

NPI: 1912278292
Provider Name (Legal Business Name): VIRGINIA A. REID PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 WELLINGTON PL
CINCINNATI OH
45219-1710
US

IV. Provider business mailing address

126 WELLINGTON PL
CINCINNATI OH
45219-1710
US

V. Phone/Fax

Practice location:
  • Phone: 513-284-1021
  • Fax: 513-421-4941
Mailing address:
  • Phone: 513-284-1021
  • Fax: 513-421-4941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5351
License Number StateOH

VIII. Authorized Official

Name: DR. VIRGINIA A REID
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 513-284-1021