Organization
BEHAVIORAL HEALTH OF SELMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD STEVEN REYNOLDS PH.D. (LICENSED PSYCHOLOGIST / EXECUTIVE)
(334) 877-3322
Entity
Organization
Contact information
Practice address
1306 OLD ORRVILLE RD, SELMA, AL 36701-6931
(334) 877-3322
(334) 877-3322
Mailing address
1306 OLD ORRVILLE RD, SELMA, AL 36701-6931
(334) 877-3322
(334) 877-3322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000113523
—
AL
Enumeration date
07/30/2009
Last updated
10/06/2009
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