Individual
FARAH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
1445 N LIMESTONE ST, GAFFNEY, SC 29340-4735
(864) 487-7874
Mailing address
1445 N LIMESTONE ST, GAFFNEY, SC 29340-4735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5137
SC
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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