Individual
MARY E REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
332
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000051911
BC/BS
MT
05
—
491011
—
MT
01
—
P00070290
RAILROAD MEDICARE
MT
01
—
PSY-332
LICENSE
MT
Enumeration date
06/27/2006
Last updated
03/29/2024
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