| Priscilla W. Reynolds, Plc, Llc | |
|
6600 N Oracle Rd Suite 110 Tucson AZ 85704-5676 | |
| (520) 877-8167 | |
| (520) 531-1938 |
| Full Name | Priscilla W. Reynolds, Plc, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6600 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Priscilla Williamson Reynolds (OWNER) |
| Authorized Official Contact | 5208778167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priscilla W. Reynolds, Plc, Llc 6600 N Oracle Rd Suite 110 Tucson AZ 85704-5676 Ph: (520) 877-8167 | Priscilla W. Reynolds, Plc, Llc 6600 N Oracle Rd Suite 110 Tucson AZ 85704-5676 Ph: (520) 877-8167 |
| NPI Number | 1144478025 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Medicare PECOS PAC ID | 6406924059 |
|---|---|
| Medicare Enrollment ID | O20081009000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144478025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 0341 (Arizona) | Primary |
| Provider Name | Priscilla W Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043290901 PECOS PAC ID: 4082632419 Enrollment ID: I20051104000047 |
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