Reynolds, Sally Ann
Reynolds, Sally Ann is an individual health care provider with primary practice located at 520 Valley St , Statesville NC 28677-7935. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reynolds, Sally Ann can be contacted via phone (800) 632-6074.Contact Information
Primary practice address
520 Valley St
Statesville NC 28677-7935
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005057 | North Carolina |
Profile Details
| NPI number | 1750486353 |
|---|---|
| LBN Legal business name | Reynolds, Sally Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1750486353 | NPPES |
| North Carolina | MEDICAID | 6106252 |
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