Provider Demographics
NPI:1578932778
Name:REEDER, DANA LEIGH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:LEIGH
Last Name:REEDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:LEIGH
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 801143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1143
Mailing Address - Country:US
Mailing Address - Phone:573-331-5583
Mailing Address - Fax:573-331-5079
Practice Address - Street 1:1212 SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2769
Practice Address - Country:US
Practice Address - Phone:573-614-3600
Practice Address - Fax:573-614-3601
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015033059103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical