Individual
RUSS REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7701 TELEGRAPH RD BLDG 2596, ALEXANDRIA, VA 22315-3822
(703) 664-5006
Mailing address
301 BEAR CREEK RD., P.O. BOX 2009, OAK RIDGE, TN 37831-2820
(865) 574-3434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1422
TN
Other
Enumeration date
04/22/2013
Last updated
04/22/2022
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