Organization
REID PSYCHOLOGY GROUP, LLC
Active
Organization
REID PSYCHOLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN REID ROACHE PHD (OWNER)
(781) 828-2418
Entity
Organization
Contact information
Practice address
500 CHAPMAN ST UNIT 203, CANTON, MA 02021-2040
(781) 828-2418
(781) 298-7920
Mailing address
500 CHAPMAN ST UNIT 203, CANTON, MA 02021-2040
(781) 828-2418
(781) 298-7920
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000W07430
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/19/2018
Last updated
07/02/2020
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