Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK RYAN REYNAUD, MA, LPC, LMFT
Active Sole ProprietorMarriage & Family Therapist · ZACHARY, LA
Registration Details
- NPI Number
- 1215029178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2006 (19.569766166605 yrs)
- Last Updated
- Jun 20, 2011
- Licenses
-
1734 (LA)99 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4787 WAYWOOD DRSUITE CZACHARY, LA, 707912465Browse LA providers · Browse ZIP 70791
- Phone
- 2256546321
- Fax
- 2256546321
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.