Wallace Averal Reynolds in Bartow - Psychologist
Wallace Averal Reynolds - NPI 1942457189
Wallace Averal Reynolds is a Psychologist in Bartow, Florida. Wallace Averal Reynolds practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Wallace Averal Reynolds is 1942457189. The last update date is 2014-12-23.
Wallace Averal Reynolds's current location address is 1625 S Hibiscus Dr, Bartow, Florida. You can contact this provider via phone number 8633985996. The mailing address for Wallace Averal Reynolds is 1625 S Hibiscus Dr, Bartow, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Averal Reynolds |
|---|---|
| Address | 1625 S Hibiscus Dr, Bartow, Florida |
| Phone Number | 8633985996 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1942457189 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2014-12-23 |
Provider Mailing Address Detail
| Address | 1625 S Hibiscus Dr |
|---|---|
| City | Bartow |
| State | Florida (FL) |
| Post Code | 338307242 |
| Phone Number | 8633985996 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY-6775 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wallace Averal Reynolds by the Centers for Medicare & Medicaid Services?
The Wallace Averal Reynolds has been assigned the NPI (National Provider Identifier) 1942457189 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Wallace Averal Reynolds is physically located?
The Wallace Averal Reynolds is situated at the following address: 1625 S Hibiscus Dr, Bartow, FL 338307242.
What is the area of specialization for Wallace Averal Reynolds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wallace Averal Reynolds is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942457189 to Wallace Averal Reynolds?
The Centers for Medicare & Medicaid Services assigned the 1942457189 to Wallace Averal Reynolds on 2008-08-19.
As of what date was the information pertaining to Wallace Averal Reynolds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wallace Averal Reynolds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-23.
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