Provider Demographics
NPI:1861910333
Name:REED, BRIAN NEIL (CASAC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:NEIL
Last Name:REED
Suffix:
Gender:M
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 ROUTE 11 APT 22
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13084-9641
Mailing Address - Country:US
Mailing Address - Phone:315-391-1981
Mailing Address - Fax:
Practice Address - Street 1:960 SALT SPRINGS RD BLDG 5
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1639
Practice Address - Country:US
Practice Address - Phone:315-446-6250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor