| NPI | 1518034990 |
|---|---|
| Other Name | CAROL LYNN REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD15667) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX E3780) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-03-07 |