Provider Demographics
NPI:1104974229
Name:REED, LADONNA KAYE (LISW)
Entity type:Individual
Prefix:MS
First Name:LADONNA
Middle Name:KAYE
Last Name:REED
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 WOODBINE DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-6369
Mailing Address - Country:US
Mailing Address - Phone:319-377-3567
Mailing Address - Fax:
Practice Address - Street 1:1910 SAINT ANDREWS CT NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5814
Practice Address - Country:US
Practice Address - Phone:319-377-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical