Individual
BROOKE REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-2176
Mailing address
3333 BURNET AVE # MLC7039, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08037
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
08/20/2020
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