Healthcare Provider Details

I. General information

NPI: 1619841103
Provider Name (Legal Business Name): CLINIC BY REECE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3313 VALLEY VIEW AVE NW
ROANOKE VA
24012-3919
US

IV. Provider business mailing address

3313 VALLEY VIEW AVE NW
ROANOKE VA
24012-3919
US

V. Phone/Fax

Practice location:
  • Phone: 945-253-5195
  • Fax:
Mailing address:
  • Phone: 945-253-5195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIA REECE
Title or Position: CEO
Credential: PSYD
Phone: 945-253-5195