Individual
DR. THADDEUS REECESIRI REECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
771 TULIP POPLAR WAY, LAWRENCEVILLE, GA 30044-8819
(678) 472-0372
Mailing address
771 TULIP POPLAR WAY, LAWRENCEVILLE, GA 30044-8819
(678) 472-0372
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004346
GA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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