Doctor Name: | RAKEESHA R REEVES |
NPI Number: | 1356351415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CFY-SLP |
License Number: | |
Business Practice Address: | 9261 W Van Buren St Tolleson, AZ - 853532941 |
Business Phone Number: | 6239075270 |
Business Fax Number: | 6239075271 |
Mailing Address: | 11875 W Mcdowell Rd Apt 1153, AVONDALE |
State: | AZ |
Postal Code: | 853233104 |
Phone Number: | 6234559261 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |