Provider Demographics
NPI:1306977400
Name:REED, LINDA KAY (COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KAY
Last Name:REED
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E 93RD ST
Mailing Address - Street 2:STE. 4W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5534
Mailing Address - Country:US
Mailing Address - Phone:917-655-3751
Mailing Address - Fax:
Practice Address - Street 1:321 E 93RD ST
Practice Address - Street 2:STE. 4W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5534
Practice Address - Country:US
Practice Address - Phone:917-655-3751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18003311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health