| Doctor Name: | MRS. JENNIFER ALLLISON REIDENBACH |
| NPI Number: | 1780647610 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSR, CCC-SLP |
| License Number: | 3695 |
| Business Practice Address: | 1233 Ben Sawyer Blvd Suite 500 Mount Pleasant, SC - 294644577 |
| Business Phone Number: | 8436970396 |
| Business Fax Number: | 8646408011 |
| Mailing Address: | 1233 Ben Sawyer Blvd, Suite 500 MOUNT PLEASANT |
| State: | SC |
| Postal Code: | 294644577 |
| Phone Number: | 8436970396 |
| Fax Number: | 8646408011 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 10/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |