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Emily Stice Reeder

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3164 Condo Ct, Santa Rosa, CA 95403-2557

PECOS Enrollment

This provider is enrolled in PECOS as EMILY REEDER.

Based on the most recent information from CMS, provider Emily Stice Reeder is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124363973
Provider Type
Individual
Full Name
Reeder, Emily Stice
Gender
Female

Sole Proprietor
No
Enumeration Date
12/5/2012
Last Updated
12/9/2016

Contact Information

Practice Location

3164 Condo Ct, Santa Rosa, CA 95403-2557

(707) 360-1500

Unlisted Fax

Mailing Location

3164 Condo Ct, Santa Rosa, CA 95403-2557

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 90327 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer

Emily Stice Reeder

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mcgavin, Susanne Barnes

Palmer, Nichole Kathleen

Bentley, Melissa Elizabeth

Buxbaum, Anne Katherine

Hendricks, Katrina

Guerrero, Mario G

Hedlund, Thomas Rick

Armstrong, Patrick E.R.

Hall, Paula B

Evans, David Arland