Provider Demographics
NPI:1972873396
Name:REED, SUSANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 CITO RD
Mailing Address - Street 2:
Mailing Address - City:BIG COVE TANNERY
Mailing Address - State:PA
Mailing Address - Zip Code:17212-9616
Mailing Address - Country:US
Mailing Address - Phone:717-414-9695
Mailing Address - Fax:
Practice Address - Street 1:292 BUCHANAN TRL
Practice Address - Street 2:G
Practice Address - City:MC CONNELLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17233-8278
Practice Address - Country:US
Practice Address - Phone:717-414-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)