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NPI 1225309446

NPI 1225309446 : REED PSYCHOLOGICAL SERVICES, LLC : PLYMOUTH, MN

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General NPI Number Information
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    NPI Number           |    1225309446
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    Entity Type          |    Organization 
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    Legal Business Name  |    REED PSYCHOLOGICAL SERVICES, LLC 
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Dates
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    Enumeration Date     |    01/19/2012
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    Last Update Date     |    02/24/2020
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Provider Practice Location Address
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    Address Line         |    9800 SHELARD PKWY STE 110 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55441-6451
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    Country              |    US
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    Telephone            |    763-577-2489
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9800 SHELARD PKWY STE 110 
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    City                 |    PLYMOUTH
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    State                |    MN
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    Zip                  |    55441-6451
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    Country              |    US
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    Telephone            |    763-577-2489
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/LICENSED PSYCHOLOGIST
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    Name                 |    DR. EVA S REED 
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    Credential           |    PSYD, LP
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    Telephone            |    612-423-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    5434
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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