Reynolds, Stephanie T

Reynolds, Stephanie T is an individual health care provider with primary practice located at 5570 Sterrett Pl Suite 206, Columbia MD 21044-2641. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Reynolds, Stephanie T can be contacted via phone (410) 884-6031.

Contact Information

Primary practice address
5570 Sterrett Pl Suite 206 Columbia MD 21044-2641
Phone: (410) 884-6031
Fax: (410) 884-6134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 13028 Maryland

Profile Details

NPI number 1447300751
LBN Legal business name Reynolds, Stephanie T
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Sep 17th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447300751 NPPES
Maryland MEDICAID 4455274 00

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