Individual
ANNE MARCELLA REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210
(315) 464-5450
(315) 464-6322
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
021484
NY
Other
Enumeration date
05/21/2013
Last updated
01/29/2016
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