Doctor Name: | REAGAN HASTINGS |
NPI Number: | 1548562648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 105614 |
Business Practice Address: | 555 Ranch Road 3237 Wimberley, TX - 786765311 |
Business Phone Number: | 5128475540 |
Business Fax Number: | 5128470419 |
Mailing Address: | 10372 Old Furnace Rd, SEAFORD |
State: | DE |
Postal Code: | 199738109 |
Phone Number: | 3867564395 |
Fax Number: | 8664262811 |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 06/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |