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NPI Code Detail

MEDICARE: DR. LAUREN REID PH.D.

MEDICARE: DR. LAUREN REID PH.D.
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
1103TC1900XCounseling PsychologistPS017973PA

General Provider Information

NPI Number : 1356852545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN REID PH.D.
Provider Business Mailing Address
First Line : 85 ARBOR CIR
Second Line :
City : COLMAR
State : PA
Zip : 18915-9605
Country : US
Telephone Number : 609-439-7522
Fax Number :
Provider Business Practice Location Address
First Line : 450 S EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-3215
Country : US
Telephone Number : 609-439-7522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2017
Last Update Date : 10/16/2017

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Directions to “ DR. LAUREN REID PH.D.” Practice Location

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