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Contact Information

DR. NICOLE REYNOLDS LLC
271 3RD ST
ASTORIA, OR97103-4311
 Phone: 770-883-3038
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DR NICOLE REYNOLDS LLC · (Female)

NPI Number 1740801455
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2020
Last updated 05/04/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 500732686
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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