Individual
DR. MARY R REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
518 S ASPEN ST, LINCOLNTON, NC 28092-2735
(704) 530-0850
(704) 735-9810
Mailing address
518 S ASPEN ST, LINCOLNTON, NC 28092-2735
(704) 530-0850
(704) 735-9810
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000865
—
NC
Enumeration date
05/09/2006
Last updated
01/21/2016
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