Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 0810005006 | VA |
N | 103T00000X | Psychologist | 0810005006 | VA |
N | 102L00000X | Psychologist | PSY003856 | GA |
N | 103T00000X | Psychologist | PSY003856 | GA |
Y | 207VG0400X | Gynecologist | 042-0011202 | VT |
NPI | 1073603270 |
---|---|
Provider Name | Dr. Brita S Reed |
First Address | Grovetown, GA 30813-5295 |
Second Address | Grovetown, GA 30813-5295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 13/01/2015 |