Mr. Mac Patrik Reynolds, BSPSYCHOLOGY
Mr. Mac Patrik Reynolds, BSPSYCHOLOGY is an In Home Supportive Care Agency in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
620 W Prosser Rd Lot HCheyenne, WY 82007-3054
Phone: (307) 274-6567
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X (WY) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X (WY) |
| Adult Companion | Taxonomy 372600000X |
| Day Training/Habilitation Specialist | Taxonomy 373H00000X |
Record details
| NPI number | 1013524628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BSPSYCHOLOGY |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2020 |
| Last updated in NPPES | October 13, 2020 |
| Certification date | October 13, 2020 |
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