Individual
MS. SHANNON D. REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8 LINCOLN ST, WESTPORT, CT 06880-4201
(203) 916-4600
(201) 916-4601
Mailing address
27 FAIRFIELD RD APT A, GREENWICH, CT 06830-4889
(203) 610-2886
(203) 916-4601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008190
CT
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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