Individual
MS. SHARON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHCNS
Contact information
Practice address
846 WALNUT ST, NEWTON, MA 02459-1756
(617) 332-0422
(617) 332-0423
Mailing address
PO BOX 620024, NEWTON, MA 02462-0024
(617) 332-0422
(617) 332-0423
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
154473
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
RN154473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006850
BEOEN HEALTH STRATEGIES
MA
01
—
110082000
MAGELLAN BEH HEALTH
MA
01
—
2114322
CIGNA
—
01
—
759696
TUFTS HEALTH PLAN
MA
01
—
7675042
AETNA
—
01
—
PN0360
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/07/2006
Last updated
10/07/2022
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