Provider Demographics
NPI:1992192116
Name:REECE, PATRICIA LOUISA MAE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LOUISA MAE
Last Name:REECE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:LOUISA MAE REECE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:550 S WATTERS RD STE 136
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5225
Mailing Address - Country:US
Mailing Address - Phone:945-253-5195
Mailing Address - Fax:
Practice Address - Street 1:550 S WATTERS RD STE 136
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5225
Practice Address - Country:US
Practice Address - Phone:945-253-5195
Practice Address - Fax:469-713-2432
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-26
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33810103TC0700X, 103T00000X, 103TF0200X
CA30669103T00000X, 103TF0200X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health