Organization
MAUREEN LYONS REARDON, LLC
Active
Other names
M.L. Reardon, Ph.D., ABPP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN LYONS REARDON PH.D., ABPP (OWNER)
(910) 609-1990
Entity
Organization
Contact information
Practice address
2411 ROBESON ST, SUITE 200, FAYETTEVILLE, NC 28305-5576
(910) 609-1990
(910) 609-1993
Mailing address
5048 BARTONS ENCLAVE LN, RALEIGH, NC 27613-8564
(919) 800-1174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
3149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19K0B
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
10/03/2016
Last updated
10/12/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up