Individual
DR. DEANA JO MCREYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
03589
KY
2084P0800X
Psychiatry Physician
Primary
82984
SC
2084P0804X
Child & Adolescent Psychiatry Physician
34011363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100253800
—
KY
05
—
829849
—
SC
01
—
SCH5767652
MEDICARE PIN
SC
Enumeration date
05/20/2009
Last updated
06/04/2025
Update your record
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