| Doctor Name: | MRS. WALESCA REYES |
| NPI Number: | 1518276898 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 41YS00432200 |
| Business Practice Address: | 24 Hamburg Turnpike 8th Floor Wayne, NJ - 07470 |
| Business Phone Number: | 9736367200 |
| Business Fax Number: | |
| Mailing Address: | 177 20th St, UNION CITY |
| State: | NJ |
| Postal Code: | 070875426 |
| Phone Number: | 6094988144 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00432200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |