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General NPI Number Information
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NPI Number | 1669753125
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Entity Type | Individual
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Provider Name | CRISTINA M. REEDY LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 1801 FRUITVILLE PIKE SUITE 201
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City | LANCASTER
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State | PA
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Zip | 17601-4079
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Country | US
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Telephone | 717-556-4673
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Fax | 717-656-4501
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Provider Business Mailing Address
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Address Line | 1801 FRUITVILLE PIKE SUITE 201
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City | LANCASTER
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State | PA
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Zip | 17601-4079
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Country | US
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Telephone | 717-556-4673
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Fax | 717-656-4501
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | CW016652
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License Number State | PA
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