Doctor Name: | RICHARD D REYNOLDS |
NPI Number: | 1518285402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | 2005019482 |
Business Practice Address: | 143 Mill Street Raymondville, MO - 65555 |
Business Phone Number: | 4174576548 |
Business Fax Number: | |
Mailing Address: | 1921 W Elm St, SPRINGFIELD |
State: | MO |
Postal Code: | 658061529 |
Phone Number: | 4174293422 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2010 |
NPI Last Update Date: | 05/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2005019482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |