| Theresa M Reed Phd Pc | |
|
119 W Front St Suite 309 Missoula MT 59802-4011 | |
| (406) 327-6663 | |
| (406) 327-9987 |
| Full Name | Theresa M Reed Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 119 W Front St, Missoula, Montana |
| Authorized Official Name and Position | Theresa M Reed (OWNER/PROVIDER) |
| Authorized Official Contact | 4063276663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa M Reed Phd Pc 119 W Front St Suite 309 Missoula MT 59802-4011 Ph: (406) 327-6663 | Theresa M Reed Phd Pc 119 W Front St Suite 309 Missoula MT 59802-4011 Ph: (406) 327-6663 |
| NPI Number | 1477887420 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Medicare PECOS PAC ID | 2860539848 |
|---|---|
| Medicare Enrollment ID | O20091023000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477887420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Theresa M Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356370761 PECOS PAC ID: 5193871895 Enrollment ID: I20091023000232 |
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