Provider Demographics
NPI:1588204093
Name:REED, REBECCA FRANCES (PHD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:FRANCES
Last Name:REED
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1 CITY PL APT 610
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3334
Mailing Address - Country:US
Mailing Address - Phone:201-214-8543
Mailing Address - Fax:
Practice Address - Street 1:1 CITY PL APT 610
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3334
Practice Address - Country:US
Practice Address - Phone:201-214-8543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023298103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling