THOMAS LEHMAN REYNOLDS M.D.
Clinical Neuropsychologist
Canton, Ohio
Provider NPI: 1447293147
Provider Information:THOMAS LEHMAN REYNOLDS M.D.
Gender: M
Sole Proprietor
Practice Location:
4368 DRESSLER RD. NW CANTON, OH 44718 US
Tel: 330-433-1300 Fax: 330-494-0828
Business Mailing Address:
PO BOX 80690 CANTON, OH 44708 US
Tel: 330-433-1300 Fax: 330-494-0828
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 2084P0804X | Physicians Psychiatry & Neurology Child & Adolescent Psychiatry | OH | 35-084998 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE LICENSE | 35-084998 | OH | 01 |
2519957 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin