Provider Demographics
NPI:1720627706
Name:REESE, SYDNEY (MA)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5953 SW GAINES AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7460
Mailing Address - Country:US
Mailing Address - Phone:305-803-7358
Mailing Address - Fax:
Practice Address - Street 1:5953 SW GAINES AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-7460
Practice Address - Country:US
Practice Address - Phone:305-803-7358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health