Provider Demographics
NPI:1679099923
Name:REED, TEYONEE SHELAWN
Entity Type:Individual
Prefix:
First Name:TEYONEE
Middle Name:SHELAWN
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12245 BEECH DALY RD UNIT 401194
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-3248
Mailing Address - Country:US
Mailing Address - Phone:313-478-7464
Mailing Address - Fax:
Practice Address - Street 1:12245 BEECH DALY RD UNIT 401194
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-3248
Practice Address - Country:US
Practice Address - Phone:313-478-7464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health