Individual
JAMES MARK REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1519 NYE ROAD, WAYNE BEHAVIORAL HEALTH NETWORK, LYONS, NY 14489
(315) 946-5722
(315) 946-7066
Mailing address
209 LAKE ROAD, ONTARIO, NY 14519
(585) 506-7071
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013321
NY
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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