National Provider Identifier

James Mark Reynolds, PHD

James Mark Reynolds, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1306981006Lyons, NYPsychologist

Profile Overview

NPI
1306981006
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
February 20, 2007
Last Updated
July 08, 2007

Practice Location

  • 1519 Nye Road
  • Wayne Behavioral Health Network
  • Lyons, NY 14489

Phone: (315) 946-5722

Mailing Address

  • 209 Lake Road
  • Ontario, NY 14519

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1306981006
Entity Type
Individual
Last Name
Reynolds
First Name
James
Middle Name
Mark
Credential
PHD
Mailing Street Address
209 Lake Road
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519
Mailing Country
US
Mailing Phone
(585) 506-7071
Practice Street Address
1519 Nye Road
Practice Address Line 2
Wayne Behavioral Health Network
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489
Practice Country
US
Practice Phone
(315) 946-5722
Practice Fax
(315) 946-7066
Enumeration Date
February 20, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)