Individual
AUDRA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7230 HERITAGE VILLAGE PLZ, SUITE 102, GAINESVILLE, VA 20155-3053
(571) 921-6721
(703) 754-0311
Mailing address
7230 HERITAGE VILLAGE PLZ, SUITE 102, GAINESVILLE, VA 20155-3053
(571) 921-6721
(703) 754-0311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004718
VA
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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