Doctor Name: | AMY CATHERINE REID |
NPI Number: | 1407916752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC, SLP |
License Number: | SA7235 |
Business Practice Address: | 447 Nw 73rd Ave Plantation, FL - 333171608 |
Business Phone Number: | 9545837383 |
Business Fax Number: | |
Mailing Address: | 1001 Nw 104th Ave, PLANTATION |
State: | FL |
Postal Code: | 333226588 |
Phone Number: | 9543829642 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7235 |
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 |