Healthcare Provider Details

I. General information

NPI: 1225397300
Provider Name (Legal Business Name): STEPHANIE ANN REED LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 03/23/2020
Certification Date: 03/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 E LANCASTER AVE STE 2
BRYN MAWR PA
19010-1568
US

IV. Provider business mailing address

1002 LINDEN AVE
CHESTER SPRINGS PA
19425-3662
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-7527
  • Fax:
Mailing address:
  • Phone: 610-306-9455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: