Provider Demographics
NPI:1285455808
Name:REID, DANIELLE (DOMP)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:REID
Suffix:
Gender:F
Credentials:DOMP
Other - Prefix:
Other - First Name:DANI
Other - Middle Name:
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DOMP
Mailing Address - Street 1:1 KING ST WEST
Mailing Address - Street 2:SUITE 1405
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5H1A1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 KING ST WEST
Practice Address - Street 2:SUITE 1405
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M5H1A1
Practice Address - Country:CA
Practice Address - Phone:226-377-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist