Provider Demographics
NPI:1548363781
Name:REED, ELIZABETH ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:REED
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 CHARLESTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1205
Mailing Address - Country:US
Mailing Address - Phone:614-441-9773
Mailing Address - Fax:209-755-5766
Practice Address - Street 1:881 HIGH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4109
Practice Address - Country:US
Practice Address - Phone:614-441-9773
Practice Address - Fax:209-755-5766
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0015306104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker