| Doctor Name: | JANA KATHLEEN REYNOLDS |
| NPI Number: | 1497026470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW-P |
| License Number: | 5148-P |
| Business Practice Address: | 905 Nw 4th St Stigler, OK - 744621652 |
| Business Phone Number: | 9186306842 |
| Business Fax Number: | 9189678203 |
| Mailing Address: | 905 Nw 4th St, STIGLER |
| State: | OK |
| Postal Code: | 744621652 |
| Phone Number: | 9186306842 |
| Fax Number: | 9189678203 |
| NPI Enumeration Date: | 01/23/2012 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5148-P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |