MEDICARE: DR. MICHAEL J REED PSYD, LP, HSP-P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	149234	AK
2	103TC0700X	Clinical Psychologist	6364	NC

General Provider Information

NPI Number	:	1194005660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J REED PSYD, LP, HSP-P

Provider Business Mailing Address
First Line	:	9208 FALLS OF NEUSE RD STE 201
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2438
Country	:	US
Telephone Number	:	907-227-7527
Fax Number	:

Provider Business Practice Location Address
First Line	:	9208 FALLS OF NEUSE RD STE 201
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2438
Country	:	US
Telephone Number	:	907-227-7527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2011
Last Update Date	:	06/27/2025

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