Doctor Name: | MS. BETH ANN REINA |
NPI Number: | 1730320490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 146.009666 |
Business Practice Address: | 2156 Water Chase Dr New Lenox, IL - 604514812 |
Business Phone Number: | 7085955443 |
Business Fax Number: | |
Mailing Address: | 2156 Water Chase Dr, NEW LENOX |
State: | IL |
Postal Code: | 604514812 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/10/2009 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.009666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |