Provider Demographics
NPI:1780719237
Name:REED, RICHARD P (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:REED
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8500 MENAUL BLVD NE
Mailing Address - Street 2:SUITE A-330
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1273
Mailing Address - Country:US
Mailing Address - Phone:505-235-7096
Mailing Address - Fax:505-292-7769
Practice Address - Street 1:8500 MENAUL BLVD NE
Practice Address - Street 2:SUITE A-330
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1273
Practice Address - Country:US
Practice Address - Phone:505-235-7096
Practice Address - Fax:505-292-7769
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM147103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling