Provider Demographics
NPI:1245559608
Name:REED, MEREDITH J (BS)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:J
Last Name:REED
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 HURST DR
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-8557
Mailing Address - Country:US
Mailing Address - Phone:386-334-1067
Mailing Address - Fax:
Practice Address - Street 1:1263 HURST DR
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-8557
Practice Address - Country:US
Practice Address - Phone:386-334-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health