M.L. Reardon, Ph.D., Abpp
LBN: Maureen Lyons Reardon, Llc
M.L. Reardon, Ph.D., Abpp is an health care organization with primary practice located at 2411 Robeson St Suite 200, Fayetteville NC 28305-5576. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Maureen Lyons Reardon, Llc can be contacted via phone (910) 609-1990, or through Reardon, Maureen Lyons via phone (910) 609-1990.
Contact Information
Primary practice address
2411 Robeson St Suite 200
Fayetteville NC 28305-5576
Phone: (910) 609-1990
Fax: (910) 609-1993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 3149 | North Carolina |
Profile Details
| NPI number | 1558810580 |
|---|---|
| LBN Legal business name | Maureen Lyons Reardon, Llc |
| DBA Doing business as | M.L. Reardon, Ph.D., Abpp |
| Authorized official | Reardon, Maureen Lyons PH.D., ABPP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2016 |
| Last updated | Oct 12th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558810580 | NPPES |
| North Carolina | Other | 19K0B | BLUE CROSS BLUE SHIELD NC |
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