National Provider Identifier

Tina Reed

Tina Reed is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Wolcott, NY and a listed phone number of (315) 879-0375.

NPI 1427506906Wolcott, NYEarly Intervention Provider Agency

Profile Overview

NPI
1427506906
Provider Type
Individual
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
September 14, 2016
Last Updated
September 14, 2016

Practice Location

  • 12044 E Main St
  • Wolcott, NY 14590-1022

Phone: (315) 879-0375

Specialties

  • Early Intervention Provider Agency (252Y00000X)
Full Record
NPI
1427506906
Entity Type
Individual
Last Name
Reed
First Name
Tina
Mailing Street Address
12044 E Main St
Mailing City
Wolcott
Mailing State
NY
Mailing ZIP Code
14590-1022
Mailing Country
US
Practice Street Address
12044 E Main St
Practice City
Wolcott
Practice State
NY
Practice ZIP Code
14590-1022
Practice Country
US
Practice Phone
(315) 879-0375
Enumeration Date
September 14, 2016
Last Updated
September 14, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Early Intervention Provider Agency (252Y00000X)