Reynolds, Deana
Reynolds, Deana is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Reynolds, Deana can be contacted via phone (765) 456-5920.Contact Information
Primary practice address
1907 W Sycamore St
Kokomo IN 46901-5148
Phone: (765) 456-5920
Fax: (765) 236-8330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35001631A | Indiana |
Profile Details
| NPI number | 1497990964 |
|---|---|
| LBN Legal business name | Reynolds, Deana |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2008 |
| Last updated | Jan 8th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497990964 | NPPES |
| Indiana | MEDICAID | 100269030A |
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