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Individual

DR. JAMES REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
670 BLVD DE FRANCE, PARRIS ISLAND, SC 29905
(843) 228-3869
Mailing address
ATTN: MEDICAL STAFF SERVICES BLDG. H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY9127-PR
MA
103TH0100X
Health Service Psychologist
Primary
PY9127-PR
MA
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
12/07/2009
Last updated
10/10/2024
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