Healthcare Provider Details

I. General information

NPI: 1245160324
Provider Name (Legal Business Name): WHITNEY REED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41765 POMEROY PIKE
POMEROY OH
45769-9411
US

IV. Provider business mailing address

41765 POMEROY PIKE
POMEROY OH
45769-9411
US

V. Phone/Fax

Practice location:
  • Phone: 740-992-7076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.03082
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: