DR. MICHAEL CONNELL REYNOLDS PH.D NPI 1265418560

NPI Information

NPI: 1265418560
Provider Name: DR. MICHAEL CONNELL REYNOLDS, PH.D
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
251 COUNTRY CLUB DR
EDEN, NC
ZIP 27288
Phone: (336) 635-1899
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DR. Michael Connell Reynolds, PH.D is a professional counselor in Eden, NC. DR. Michael Connell Reynolds, PH.D NPI is 1265418560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

251 COUNTRY CLUB DR
EDEN, NC
ZIP 27288-554
Phone: (336) 635-1899
Fax: (336) 635-1899

The enumeration date for this NPI number is 12/19/2005 and was last updated on 3/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4211	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6102057	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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