MEDICARE: MARNA REED, MA, LP

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1932805637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARNA REED, MA, LP

Provider Business Mailing Address
First Line	:	6060 LOGAN AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55419-2056
Country	:	US
Telephone Number	:	612-670-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 ASBURY ST STE 106A
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-1852
Country	:	US
Telephone Number	:	612-670-1330
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	MS. MARNA REED
Credential	:	MA, LP
Telephone Number	:	612-670-1330

Provider Enumeration Date	:	02/03/2023
Last Update Date	:	02/03/2023

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