Provider Demographics
NPI:1164284899
Name:REED, WILLIAM CLARK
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CLARK
Last Name:REED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-0093
Mailing Address - Country:US
Mailing Address - Phone:860-921-7501
Mailing Address - Fax:
Practice Address - Street 1:620 COUNTY RD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257-9532
Practice Address - Country:US
Practice Address - Phone:860-921-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician