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NPI Code Detail

MEDICARE: SHEA-ANN REID

MEDICARE: SHEA-ANN REID
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
1251S00000XCommunity/Behavioral Health AgencyBH006935PA

General Provider Information

NPI Number : 1356154629
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEA-ANN REID
Provider Business Mailing Address
First Line : 1059 BRIDGE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-1824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1059 BRIDGE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-1824
Country : US
Telephone Number : 267-225-7180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2025
Last Update Date : 01/29/2025

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Directions to “ SHEA-ANN REID ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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