Dwight Reynolds in Village Of Palmetto - Clinical

Dwight Reynolds - NPI 1295890663

Dwight Reynolds is a Clinical in Village Of Palmetto , Florida. Dwight Reynolds practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dwight Reynolds is 1295890663. The last update date is 2007-07-08.

Dwight Reynolds's current location address is 8600 Sw 147th St, Village Of Palmetto , Florida. You can contact this provider via phone number 3052737736 and fax number 3052788166. The mailing address for Dwight Reynolds is 8600 Sw 147th St, Village Of Palmetto , Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwight Reynolds
Address 8600 Sw 147th St, Village Of Palmetto , Florida
Phone Number 3052737736
Fax Number 3052788166
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1295890663
Provider Enumeration Date 2006-12-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8600 Sw 147th St
City Village Of Palmetto
State Florida (FL)
Post Code 331581934
Phone Number 3052737736
Fax Number 3052788166

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY0004023
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Dwight Reynolds

What is the unique 10-digit identification code issued to Dwight Reynolds by the Centers for Medicare & Medicaid Services?

The Dwight Reynolds has been assigned the NPI (National Provider Identifier) 1295890663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Dwight Reynolds is geographically located?

The Dwight Reynolds is physically situated at the following location: 8600 Sw 147Th St, Village Of Palmetto , FL, 331581934.

What is Dwight Reynolds's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dwight Reynolds's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did Dwight Reynolds receive its 1295890663 assignment from the Centers for Medicare & Medicaid Services?

The Dwight Reynolds was assigned its 1295890663 on 2006-12-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Dwight Reynolds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dwight Reynolds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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