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Contact Information

AUDRA REYNOLDS, PSY.D.
7230 HERITAGE VILLAGE PLZ
SUITE 102
GAINESVILLE, VA20155-3053
 Phone: 571-921-6721
 Fax: 703-754-0311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AUDRA REYNOLDS · (Female)

NPI Number 1215278775
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 03/08/2013
Last updated 03/08/2013 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
VA License # 0810004718
Hospital affiliation(s) n/a
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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