Provider Demographics
NPI:1962425470
Name:REED, DAVID NORMAN (PHD, MFT, CEAP)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NORMAN
Last Name:REED
Suffix:
Gender:M
Credentials:PHD, MFT, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2606
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-2606
Mailing Address - Country:US
Mailing Address - Phone:800-664-5090
Mailing Address - Fax:949-460-6482
Practice Address - Street 1:23046 AVENIDA DE LA CARLOTA
Practice Address - Street 2:SUITE 600
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1548
Practice Address - Country:US
Practice Address - Phone:800-664-5090
Practice Address - Fax:949-460-6482
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACEAP 002100101Y00000X
CAPSY14877103TC0700X
CAMFT20970106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist