Individual
SHANNA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-6069
Mailing address
606 SEYMOUR ST, ABERDEEN, NC 28315-1835
(910) 366-8726
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1536
AL
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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