Individual
DR. JOHN MICHAEL REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MS
Contact information
Practice address
527 TUSKEGEE AIRMEN AVE, BLDG 500, SHEPPARD AFB, TX 76311
(210) 292-7361
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7361
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
PY8303
FL
Other
Enumeration date
12/07/2007
Last updated
06/06/2025
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