Provider Demographics
NPI:1215124011
Name:REED, MARIE-GABRIELLE J (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:MARIE-GABRIELLE
Middle Name:J
Last Name:REED
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL ARTS BUILDING
Mailing Address - Street 2:825 NICOLLET MALL, SUITE 411
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-3745
Mailing Address - Country:US
Mailing Address - Phone:612-339-1736
Mailing Address - Fax:612-338-3169
Practice Address - Street 1:1801 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3745
Practice Address - Country:US
Practice Address - Phone:612-596-0900
Practice Address - Fax:612-879-3822
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNLP4835103TC2200X, 103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic