Doctor Name: | MS. DANIELLE REITZEL |
NPI Number: | 1518348812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.F.-SLP |
License Number: | 1603093 |
Business Practice Address: | 314 S South St #100 Mount Airy, NC - 270304491 |
Business Phone Number: | 3367197129 |
Business Fax Number: | 3367197396 |
Mailing Address: | 314 S South St, #100 MOUNT AIRY |
State: | NC |
Postal Code: | 270304491 |
Phone Number: | 3367197129 |
Fax Number: | 3367197396 |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1603093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |