Individual
SUSAN ELIZABETH REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 W BYRON ST, CHICAGO, IL 60618-3710
(708) 925-4186
Mailing address
2434 W BYRON ST, CHICAGO, IL 60618-3710
(708) 925-4186
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
964577498
—
IL
Enumeration date
07/07/2012
Last updated
07/07/2012
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