Individual
THERESA M REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PC
Contact information
Practice address
119 W FRONT ST, STE 309, MISSOULA, MT 59802-4011
(406) 327-6663
(406) 327-9987
Mailing address
119 W FRONT ST, STE 309, MISSOULA, MT 59802-4011
(406) 327-6663
(406) 327-9987
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
346
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000052191
BC/BS
MT
05
—
0492082
—
MT
01
—
52191
MEDICARE ADVANTAGE
MT
Enumeration date
06/30/2006
Last updated
04/20/2009
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