Provider Demographics
NPI:1184300964
Name:REED, DIANNA MARIE (MED)
Entity type:Individual
Prefix:MS
First Name:DIANNA
Middle Name:MARIE
Last Name:REED
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:DIANNA
Other - Middle Name:M
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 LIBERTY STREET BUILDING 3104
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:617-888-1099
Mailing Address - Fax:
Practice Address - Street 1:30 MEADOWBROOK ROAD
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:617-830-1264
Practice Address - Fax:508-408-6181
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral