Provider Demographics
NPI:1144357559
Name:REED, MINDY K
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:K
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-2147
Mailing Address - Country:US
Mailing Address - Phone:866-829-1154
Mailing Address - Fax:717-236-3094
Practice Address - Street 1:50 W MARKET ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:PA
Practice Address - Zip Code:17842-1019
Practice Address - Country:US
Practice Address - Phone:570-837-2575
Practice Address - Fax:570-837-6033
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW012980L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker