Provider Demographics
NPI:1245727411
Name:REID, LINDSEY KAYLA
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KAYLA
Last Name:REID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 COLVIN ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-8003
Mailing Address - Country:US
Mailing Address - Phone:508-406-1122
Mailing Address - Fax:
Practice Address - Street 1:58 COLVIN ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-8003
Practice Address - Country:US
Practice Address - Phone:508-406-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor