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Contact Information

JOHN M REARDON, PHD, MS
527 TUSKEGEE AIRMEN AVE, BLDG 500
SHEPPARD AFB, TX76311
 Phone: 210-292-7361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN M REARDON · (Male)

NPI # 1497938807
Status Active
Credentials PHD, MS
Entity Individual
Enumeration date 12/07/2007
Last updated 06/06/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • FL License # PY8303
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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