Reynolds, Michelle Kathleen

Reynolds, Michelle Kathleen is an individual health care provider with primary practice located at 165 Main St Ste A , Cortland NY 13045-3049. 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, Michelle Kathleen can be contacted via phone (607) 753-0234.

Contact Information

Primary practice address
165 Main St Ste A Cortland NY 13045-3049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001614 New York

Profile Details

NPI number 1912377094
LBN Legal business name Reynolds, Michelle Kathleen
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Jan 29th, 2024 - about 11 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912377094 NPPES
New York MEDICAID 1336163963

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