Provider Demographics
NPI:1295429249
Name:REID, DAVID C (NCC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:REID
Suffix:
Gender:M
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BARKSDALE DR APT D
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-0401
Mailing Address - Country:US
Mailing Address - Phone:919-260-2623
Mailing Address - Fax:
Practice Address - Street 1:103 BARKSDALE DR APT D
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-0401
Practice Address - Country:US
Practice Address - Phone:919-260-2623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty