Mareda L. Reynolds Ma Pllc | |
200 Kanawha Ter Suite 103 Saint Albans WV 25177-2867 | |
(304) 727-1302 | |
(304) 727-1302 |
Full Name | Mareda L. Reynolds Ma Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 200 Kanawha Ter, Saint Albans, West Virginia |
Authorized Official Name and Position | Mareda Reynolds (OWNER) |
Authorized Official Contact | 3047271302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mareda L. Reynolds Ma Pllc Po Box 904 Saint Albans WV 25177-0904 Ph: (304) 727-1302 | Mareda L. Reynolds Ma Pllc 200 Kanawha Ter Suite 103 Saint Albans WV 25177-2867 Ph: (304) 727-1302 |
NPI Number | 1114027653 |
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Provider Enumeration Date | 09/24/2006 |
Last Update Date | 10/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114027653 | NPI | - | NPPES |
9204038000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 790 (West Virginia) | Primary |
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