Provider Demographics
NPI:1285710509
Name:REEDER, DEANNA MICHELLE (MS LMHP)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:MICHELLE
Last Name:REEDER
Suffix:
Gender:F
Credentials:MS LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 CENTRAL AVE STE D
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8173
Mailing Address - Country:US
Mailing Address - Phone:308-234-5277
Mailing Address - Fax:
Practice Address - Street 1:3000 2ND AVE STE 104
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-3571
Practice Address - Country:US
Practice Address - Phone:308-234-5277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health