Provider Demographics
NPI:1689719452
Name:REED, ROBERT A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:REED
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1551
Mailing Address - Country:US
Mailing Address - Phone:412-578-6349
Mailing Address - Fax:412-578-6357
Practice Address - Street 1:202 WOODHAVEN DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1551
Practice Address - Country:US
Practice Address - Phone:412-578-6349
Practice Address - Fax:412-578-6357
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006921L103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent