Doctor Name: | MRS. LORI REZEK |
NPI Number: | 1730310319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CF/SLP |
License Number: | P/SLP-0471 |
Business Practice Address: | 4605 Maccorkle Ave Sw South Charleston, WV - 253091311 |
Business Phone Number: | 3045423544 |
Business Fax Number: | 3047273701 |
Mailing Address: | Po Box 820, HURRICANE |
State: | WV |
Postal Code: | 255260820 |
Phone Number: | 3043456313 |
Fax Number: | 3047637954 |
NPI Enumeration Date: | 07/30/2009 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P/SLP-0471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |