Doctor Name: | ADAM RERES |
NPI Number: | 1215325253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SA13745 |
Business Practice Address: | 5635 Elmhurst Cir Suite 211 Oviedo, FL - 327654111 |
Business Phone Number: | 6096106712 |
Business Fax Number: | |
Mailing Address: | 5635 Elmhurst Cir, Suite 211 OVIEDO |
State: | FL |
Postal Code: | 327654111 |
Phone Number: | 6096106712 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2014 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA13745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |