Provider Demographics
NPI:1881561900
Name:SUNCLADES, REECE ANTHONY (PSYD)
Entity type:Individual
Prefix:DR
First Name:REECE
Middle Name:ANTHONY
Last Name:SUNCLADES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-1895
Mailing Address - Country:US
Mailing Address - Phone:641-236-0632
Mailing Address - Fax:641-236-0632
Practice Address - Street 1:217 4TH AVE W
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-1895
Practice Address - Country:US
Practice Address - Phone:641-236-0632
Practice Address - Fax:641-236-0632
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist