| Doctor Name: | DR. MARGARET LOUISE REYNOLDS |
| NPI Number: | 1013216043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED. D. |
| License Number: | MH10648 |
| Business Practice Address: | 275 4th St N St Petersburg, FL - 337013205 |
| Business Phone Number: | 7278288362 |
| Business Fax Number: | 7278238082 |
| Mailing Address: | 212 3rd St N, ST PETERSBURG |
| State: | FL |
| Postal Code: | 337013819 |
| Phone Number: | 7278288362 |
| Fax Number: | 7278238082 |
| NPI Enumeration Date: | 03/16/2011 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH10648 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |