Doctor Name: | MR. TIMOTHY H REYES |
NPI Number: | 1013972017 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. CCC-SLP |
License Number: | 146005715 |
Business Practice Address: | 184 Henderson St Bensenville, IL - 601062103 |
Business Phone Number: | 6302381995 |
Business Fax Number: | 6304220262 |
Mailing Address: | 184 Henderson St, BENSENVILLE |
State: | IL |
Postal Code: | 601062033 |
Phone Number: | 6302381995 |
Fax Number: | 6304220262 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146005715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |