| Doctor Name: | DR. ERIC Y REZNIK |
| NPI Number: | 1144454323 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PY8220 |
| Business Practice Address: | 212 Ne 1st Ave Hallandale Beach, FL - 330094230 |
| Business Phone Number: | 3059898050 |
| Business Fax Number: | 9543676261 |
| Mailing Address: | 1087 Scarlet Oak St, HOLLYWOOD |
| State: | FL |
| Postal Code: | 330194810 |
| Phone Number: | 3059898050 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2009 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PY8220 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |