Individual
MISS SANDRA GAIL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC/SOLP
Contact information
Practice address
5659 MAIN ST, THELMA, KY 41260-8609
(606) 788-6600
(606) 788-7076
Mailing address
5659 MAIN ST, THELMA, KY 41260-8609
(606) 788-6600
(606) 788-7076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
673
KY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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