NPI 1356788921 · live from the CMS NPI Registry
Jacques M. Reynolds, D.O.
Psychiatry & Neurology, Neurology in Brunswick, ME. National Provider Identifier 1356788921, active.
NPI record
| NPI | 1356788921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 81 Medical Center Dr # 2400, Brunswick, ME 04011 |
| Practice phone | 207-373-6099 |
| Mailing address | 593 Eddy St, Providence, RI 02903 |
| Enumerated | May 23, 2013 |
| Last updated | August 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | DO2771 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.