NPI 1811064900 · live from the CMS NPI Registry
Thomas Q Reynolds, DO
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Scarborough, ME. National Provider Identifier 1811064900, active.
NPI record
| NPI | 1811064900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 49 Spring St, 2nd Floor, Scarborough, ME 04074 |
| Practice phone | 207-883-1414 |
| Mailing address | 301c Us Route 1, Scarborough, ME 04074 |
| Enumerated | November 30, 2006 |
| Last updated | October 23, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 2225 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.