Provider Demographics
NPI:1710154703
Name:REED, MICHAEL WILLIAM (MA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:WILLIAM
Last Name:REED
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:65 NEWBURY ST
Mailing Address - Street 2:SOVNER CENTER
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1040
Mailing Address - Country:US
Mailing Address - Phone:978-750-6828
Mailing Address - Fax:978-750-6684
Practice Address - Street 1:65 NEWBURY ST
Practice Address - Street 2:SOVNER CENTER
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1040
Practice Address - Country:US
Practice Address - Phone:978-750-6828
Practice Address - Fax:978-750-6684
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health