MEDICARE: TALISA L REED LPC

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	101YP2500X	Professional Counselor	PC007635	PA

General Provider Information

NPI Number	:	1831505627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALISA L REED LPC

Provider Business Mailing Address
First Line	:	7225 PENN AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15208-2503
Country	:	US
Telephone Number	:	412-871-3267
Fax Number	:

Provider Business Practice Location Address
First Line	:	7225 PENN AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15208-2503
Country	:	US
Telephone Number	:	412-628-2338
Fax Number	:

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

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	07/01/2014

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