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NPI Code Detail

MEDICARE: JOSEPH J. REID PH.D.

MEDICARE: JOSEPH J. 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
1106H00000XMarriage & Family Therapist981MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1305333400OTHERMNMA

General Provider Information

NPI Number : 1407932445
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH J. REID PH.D.
Provider Business Mailing Address
First Line : 1206 42ND AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1611
Country : US
Telephone Number : 612-824-3369
Fax Number : 612-824-3574
Provider Business Practice Location Address
First Line : 1206 42ND AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1611
Country : US
Telephone Number : 612-824-3369
Fax Number : 612-824-3574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 06/14/2021

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Directions to “ JOSEPH J. REID PH.D.” Practice Location

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