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MAUREEN LYONS REARDON LLC NPI 1558810580


NPI Information

NPI: 1558810580
Provider Name: MAUREEN LYONS REARDON, LLC

Doing Business As: M.L. REARDON, PH.D., ABPP

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
2411 ROBESON ST
SUITE 200
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 609-1990
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0200XPsychologistForensic3149NORTH CAROLINANo
2103T00000XPsychologistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q54362G136MEDICARE PINNORTH CAROLINA
219K0BOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.