Individual
COLETTE R REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
183 KEITH ST # 4, WARRENTON, VA 20186-3231
(540) 347-1239
Mailing address
183 KEITH ST # 4, WARRENTON, VA 20186-3231
(540) 347-1239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001160
VA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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