Individual
MRS. ANDREA MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
(701) 757-4208
Mailing address
3402 CHERRY LYNN DR, GRAND FORKS, ND 58201-7644
(701) 215-2030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1260
ND
235Z00000X
Speech-Language Pathologist
7602
MN
Other
Enumeration date
09/02/2009
Last updated
10/22/2014
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