Provider Demographics
NPI:1245392323
Name:SHARON REYNOLDS-FLESCHNER
Entity Type:Organization
Organization Name:SHARON REYNOLDS-FLESCHNER
Other - Org Name:INNERDIMENSIONS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:REYNOLDS
Authorized Official - Last Name:FLESCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:M,A,
Authorized Official - Phone:304-647-5020
Mailing Address - Street 1:325 SENECA TRL
Mailing Address - Street 2:SUITE A
Mailing Address - City:RONCEVERTE
Mailing Address - State:WV
Mailing Address - Zip Code:24970-1319
Mailing Address - Country:US
Mailing Address - Phone:304-647-5020
Mailing Address - Fax:304-645-6524
Practice Address - Street 1:325 SENECA TRL
Practice Address - Street 2:SUITE A
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-1319
Practice Address - Country:US
Practice Address - Phone:304-647-5020
Practice Address - Fax:304-645-6524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV835251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare