Samuel Reynoso

NPI 1043036213 · on the registry since 2024 · sole proprietor

Practice

Address: 2150 S Country Club Dr
Mesa, AZ 85210
Phone: (480) 398-4280
Organisation at this address: Mebe Arizona, Llc
Liv Well Behavioral
Piller Child Development
Rising Sun Psychiatry Llc
Demo Community Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 112

Registry record

Primary taxonomy: 2355S0801X
2355S0801X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona