Individual
KATHARINE CONRAD REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
PS01708
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY.0005514
CO
Other
Enumeration date
06/18/2018
Last updated
07/15/2021
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