Basic Information
| Provider Information | |||||||||
| NPI: | 1255385159 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | ALEX | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3055 ROSLYN ST UNIT 100 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802383324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208489000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3055 ROSLYN ST UNIT 100 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802383324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208489000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 12/05/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 1210 | KS | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | PSY-202399 | ID | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 4136 | CO | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.