Most Relevant Information
Provider Data
| NPI Number: | 1003830415 |
| Provider Name: | KATHLEEN O'MALLEY REYNTJENS PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | 0974 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 02/21/2008 |
Provider Practice Location
110 DELGADO ST
SUITE A
SANTA FE
NM
875012781
Practice Location Phone/Fax
| Phone: | 5058200963 |
| Fax: | 5059829767 |
Provider Mailing Location
PO BOX 32747
SANTA FE
NM
875942747
Provider Mailing Phone/Fax
| Phone: | 5056035052 |
| Fax: | 5059829767 |