| Organization Name: | MAREDA L. REYNOLDS MA PLLC |
| NPI Number: | 1114027653 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAREDA REYNOLDS (OWNER) |
| Mailing Address: | 200 Kanawha Ter Suite 103 Saint Albans |
| State: | WV US |
| Postal Code: | 251772867 |
| Phone Number: | 3047271302 |
| Fax Number: | 3047271302 |
| NPI Enumeration Date: | 09/24/2006 |
| NPI Last Update Date: | 10/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |