Provider Demographics
NPI:1588859581
Name:REED, CYNTHIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:S
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 N PANTANO RD STE 114
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3759
Mailing Address - Country:US
Mailing Address - Phone:520-780-8748
Mailing Address - Fax:
Practice Address - Street 1:2500 N PANTANO RD STE 114
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3759
Practice Address - Country:US
Practice Address - Phone:520-780-8748
Practice Address - Fax:520-333-3048
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ413592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ81049OtherTRAINING PERMIT
AZFR1838448OtherDEA NUMBER