Individual
CHRISTIAN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
100 WHITE HOUSE RD, SUNDOWN, NY 12740-4901
(845) 798-4132
Mailing address
100 WHITE HOUSE RD, SUNDOWN, NY 12740-4901
(845) 798-4132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77910-SP-SL
MA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/08/2021
Last updated
08/19/2021
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