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Organization

MAREDA L. REYNOLDS MA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAREDA REYNOLDS (OWNER)
(304) 727-1302
Entity
Organization

Contact information

Practice address
200 KANAWHA TER, SUITE 103, SAINT ALBANS, WV 25177-2867
(304) 727-1302
(304) 727-1302
Mailing address
PO BOX 904, SAINT ALBANS, WV 25177-0904
(304) 727-1302
(304) 727-1302

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
790
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9204038000
WV
Enumeration date
09/24/2006
Last updated
10/07/2007
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