# MICHAEL T. REID, PH.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396385530
- **Authorized official:** DR. MICHAEL TALBOT REID PH.D (PSYCHOLOGIST)
- **Authorized official phone:** (410) 698-3006

## Contact information

- **Practice address:** 1122 KENILWORTH DR STE 100, TOWSON, MD 21204-2142
- **Practice address phone:** (410) 881-3945
- **Practice address fax:** (410) 881-3945
- **Mailing address:** 1122 KENILWORTH DR STE 100, TOWSON, MD 21204-2142
- **Mailing address phone:** (410) 881-3945
- **Mailing address fax:** (410) 881-3945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2020
- **Last updated:** 01/15/2020