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General NPI Number Information
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NPI Number | 1699572867
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Entity Type | Individual
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Provider Name | ASHLEY REID
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2775 W DICKMAN RD STE P1
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City | SPRINGFIELD
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State | MI
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Zip | 49037-4895
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Country | US
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Telephone | 269-883-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 7540 RAVENSWOOD DR
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City | PORTAGE
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State | MI
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Zip | 49024-5018
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Country | US
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Telephone |
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Fax |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6362009964
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License Number State | MI
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