Doctor Name: | MORGAN REINHOLD |
NPI Number: | 1598194243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5174 |
Business Practice Address: | 501 S Abilene Ave Portales, NM - 881306380 |
Business Phone Number: | 5753593707 |
Business Fax Number: | |
Mailing Address: | Po Box 847, PORTALES |
State: | NM |
Postal Code: | 881300847 |
Phone Number: | 5755624458 |
Fax Number: | 5755624460 |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |