Doctor Name: | AMY MARIE REITZ |
NPI Number: | 1457606915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | SP19527 |
Business Practice Address: | 2960 E Nees Ave Ste 108 Fresno, CA - 937206012 |
Business Phone Number: | 6613771700 |
Business Fax Number: | 6616169199 |
Mailing Address: | 8302 Espresso Dr, Ste 100 BAKERSFIELD |
State: | CA |
Postal Code: | 933125687 |
Phone Number: | 6613771700 |
Fax Number: | 6616169199 |
NPI Enumeration Date: | 07/19/2012 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP19527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |