# MARY BEATRICE REYES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124351473
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | PY7474 | FL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY7474 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 02/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 472993025 | TAX ID | FL |