Doctor Name: | ROBERT REYNIERSON |
NPI Number: | 1093974164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | |
Business Practice Address: | 439 Sw Michigan Street Lake City, FL - 320250440 |
Business Phone Number: | 3864870800 |
Business Fax Number: | 3522242746 |
Mailing Address: | 4300 Sw 13th Street, GAINESVILLE |
State: | FL |
Postal Code: | 326084006 |
Phone Number: | 3523745600 |
Fax Number: | 3522242746 |
NPI Enumeration Date: | 06/04/2008 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |