Individual
DR. GLENN REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Mailing address
1803 MOUNT ROSE AVE, STE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6349
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS005055L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS005055L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125013
VALUE OPTIONS
PA
01
—
227620000
MAGELLAN
PA
01
—
284168
MAMSI
PA
01
—
50000113
CAPITAL BLUE CROSS
PA
01
—
601092
PA BLUE SHIELD
PA
01
—
687477
BC/BS OF MD CARE FIRST
PA
Enumeration date
06/12/2006
Last updated
02/02/2012
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