Organization Name: | RIECK SPEECH THERAPY |
NPI Number: | 1124211214 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EVA MARIE RIECK (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 1675 Laurel Creek Dr Troy |
State: | OH US |
Postal Code: | 45373 |
Phone Number: | 9373393484 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP3169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |