Provider Demographics
NPI:1356644413
Name:REED, DEBORAH (AUD,CCC-A, F-AAA)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:AUD,CCC-A, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9570
Mailing Address - Country:US
Mailing Address - Phone:413-584-1818
Mailing Address - Fax:413-584-1866
Practice Address - Street 1:104 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9570
Practice Address - Country:US
Practice Address - Phone:413-387-0034
Practice Address - Fax:413-387-0079
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA940237600000X, 231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2163102OtherMEDICARE