| NPI | 1558810580 |
|---|---|
| Doing Business As | M.L. REARDON, PH.D., ABPP |
| Entity Type | Organization |
| Authorized Contact | MAUREEN LYONS REARDON Owner 910-609-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NC 3149) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-12 |