Raynolds, David Af

Raynolds, David Af is an sole proprietor health care provider with primary practice located at 600 Siskiyou Blvd , Ashland OR 97520-2140. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Raynolds, David Af can be contacted via phone (541) 821-6623.

Contact Information

Primary practice address
600 Siskiyou Blvd Ashland OR 97520-2140
Phone: (541) 821-6623
Fax: (541) 535-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X C0943 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C0943 Oregon

Profile Details

NPI number 1619998010
LBN Legal business name Raynolds, David Af
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated May 31st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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