| Ms Mareda Lynn Reynolds, MA | |
|
200 Kanawha Ter, Suite 103, Saint Albans, WV 25177-2867 | |
| (304) 727-1302 | |
| (304) 727-1302 |
| Full Name | Ms Mareda Lynn Reynolds |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 200 Kanawha Ter, Saint Albans, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942207105 | NPI | - | NPPES |
| W41480 | Other | WV | BLUE CROSS/BLUE SHIELD |
| 9204038000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 790 (West Virginia) | Primary |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366212326 PECOS PAC ID: 9931017969 Enrollment ID: O20240528000174 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144096082 PECOS PAC ID: 9931017969 Enrollment ID: O20240925002809 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215707278 PECOS PAC ID: 9931017969 Enrollment ID: O20250203002432 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mareda Lynn Reynolds, MA Po Box 904, Saint Albans, WV 25177-0904 Ph: (304) 727-1302 | Ms Mareda Lynn Reynolds, MA 200 Kanawha Ter, Suite 103, Saint Albans, WV 25177-2867 Ph: (304) 727-1302 |
Melinda Kay Henline, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Kanawha Ter, Suite 103, Saint Albans, WV 25177 Phone: 304-727-1302 | |
Mrs. Elisa Sunshine Hatmaker-lutz, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 6th Ave, Saint Albans, WV 25177 Phone: 304-395-1850 |