NPI 1013524628
Mac Patrik Reynolds, BSPSYCHOLOGY
Practice location
- Address
- 620 W Prosser Rd Lot H, Cheyenne, WY 82007-3054
- Phone
- (307) 274-6567
Registered specialties (4)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Adult Companion
Day Training/Habilitation Specialist
Registry record
- NPI
- 1013524628
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Sep 2020
- Record last updated
- 13 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.