NPI Details
MAUREEN LYONS REARDON, LLC is a psychologist in Fayetteville, NC. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MAUREEN LYONS REARDON, LLC NPI is 1558810580. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As M.l. Reardon, Ph.d., Abpp.
The provider's business location address is:
2411 ROBESON ST
SUITE 200
FAYETTEVILLE, NC
ZIP 28305-576
Phone: (910) 609-1990
Fax: (910) 609-1993
The provider's authorized official is Maureen Lyons Reardon .
The authorized official title is Owner and has the following contact phone number (910) 609-1990.
The enumeration date for this NPI number is 10/3/2016 and was last updated on 10/12/2016.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103TF0200X | Psychologist | Forensic | 3149 | NORTH CAROLINA | No |
| 2 | 103T00000X | Psychologist | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | Q54362G136 | MEDICARE PIN | NORTH CAROLINA | |
| 2 | 19K0B | OTHER | NORTH CAROLINA | BLUE CROSS BLUE SHIELD NC |
