# HARRELL M. REZNICK, PH.D. AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093122822
- **Authorized official:** DR. HARRELL REZNICK (OWNER)
- **Authorized official phone:** (714) 891-1420

## Contact information

- **Practice address:** 12792 LONGDEN ST, GARDEN GROVE, CA 92845-2627
- **Practice address phone:** (714) 891-1420
- **Mailing address:** 12792 LONGDEN ST, GARDEN GROVE, CA 92845-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | Yes |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | NULL | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | — | — |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 07/14/2014