Provider Demographics
NPI:1619202926
Name:REED, PATRICIA RUTH (MSED, PCC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:RUTH
Last Name:REED
Suffix:
Gender:F
Credentials:MSED, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 WRANGELL PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1162
Mailing Address - Country:US
Mailing Address - Phone:614-475-3308
Mailing Address - Fax:
Practice Address - Street 1:2085 MECCA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4512
Practice Address - Country:US
Practice Address - Phone:614-337-1986
Practice Address - Fax:614-337-2936
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health