Individual
ANGELA TINA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, TSSLD
Contact information
Practice address
2430 SKILLMAN AVE, LONG ISLAND CITY, NY 11101-4524
(718) 729-5083
Mailing address
2430 SKILLMAN AVE, LONG ISLAND CITY, NY 11101-4524
(718) 729-5083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022693
NY
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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