Doctor Name: | MRS. LISA DUFFY REUTHER |
NPI Number: | 1417149758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | SA8112 |
Business Practice Address: | 346 E Central Ave Winter Haven, FL - 338803046 |
Business Phone Number: | 8632918644 |
Business Fax Number: | 8632933221 |
Mailing Address: | 1213 Valencia Ln, AUBURNDALE |
State: | FL |
Postal Code: | 338232364 |
Phone Number: | 8632482723 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 08/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8112 |
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 |