Provider Information for 1477978252
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Mr. JOHN DAVID REID MS, LMHC
Sex: Male
NPI: 1477978252
Last Updated: 2014-08-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477978252 | ||||||||
| Enumeration Date | 2014-03-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 402 W WASHINGTON ST RM W353 INDIANAPOLIS, IN 46204-2779 United States Phone: 317-233-4714 | Fax: | ||||||||
| Primary Practice Address | 402 W WASHINGTON ST RM W353 INDIANAPOLIS, IN 46204-2779 United States Phone: 317-233-4714 | Fax: | ||||||||
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