Doctor Name: | MRS. CARRIE BEACH REYNOLDS |
NPI Number: | 1477801926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 6345 |
Business Practice Address: | 955 Saint Peters Church Rd Chapin, SC - 290368197 |
Business Phone Number: | 8033315620 |
Business Fax Number: | |
Mailing Address: | 4 Queen Oak Ct, IRMO |
State: | SC |
Postal Code: | 290638495 |
Phone Number: | 9196249152 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2012 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6345 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |