Basic Information
| Provider Information | |||||||||
| NPI: | 1114212198 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | KATIE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 315 CACTUS RD | ||||||||
| Address2: | |||||||||
| City: | BLANDON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195109601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845253227 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 315 CACTUS RD | ||||||||
| Address2: | |||||||||
| City: | BLANDON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195109601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845253227 | ||||||||
| FaxNumber: | 6106702587 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2011 | ||||||||
| LastUpdateDate: | 11/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.