MEDICARE: ALEX J REED PSYD

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	1210	KS
2	103TC0700X	Clinical Psychologist	PSY-202399	ID
3	103TC0700X	Clinical Psychologist	PSY.0004136	CO

General Provider Information

NPI Number	:	1255385159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX J REED PSYD

Provider Business Mailing Address
First Line	:	3055 ROSLYN ST UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3324
Country	:	US
Telephone Number	:	720-848-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 ROSLYN ST UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3324
Country	:	US
Telephone Number	:	720-848-9000
Fax Number	:

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	02/12/2025

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