Provider Demographics
NPI:1932229572
Name:REED, LEWIS DENNISON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:DENNISON
Last Name:REED
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1169 HILLSBORO MILE
Mailing Address - Street 2:APT. 705
Mailing Address - City:HILLSBORO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1623
Mailing Address - Country:US
Mailing Address - Phone:954-427-8883
Mailing Address - Fax:954-427-3813
Practice Address - Street 1:4710 NW BOCA RATON BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4879
Practice Address - Country:US
Practice Address - Phone:954-427-8883
Practice Address - Fax:954-427-3813
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3365103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist