Provider Demographics
NPI:1184704074
Name:REED, JESSE ALLAN III (PHD)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:ALLAN
Last Name:REED
Suffix:III
Gender:M
Credentials:PHD
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Mailing Address - Street 1:3801 KIRBY DR
Mailing Address - Street 2:STE 108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4156
Mailing Address - Country:US
Mailing Address - Phone:713-268-4452
Mailing Address - Fax:713-528-5717
Practice Address - Street 1:3801 KIRBY DR
Practice Address - Street 2:STE 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4156
Practice Address - Country:US
Practice Address - Phone:713-268-4452
Practice Address - Fax:713-528-5717
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2024-10-07
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Provider Licenses
StateLicense IDTaxonomies
TX22836103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1184704074Medicaid
TX033346001Medicaid