Doctor Name: | PATRICIA E. REISS |
NPI Number: | 1891996146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 1999138400 |
Business Practice Address: | 13401 184th St Linwood, KS - 660524604 |
Business Phone Number: | 9138327925 |
Business Fax Number: | 9137233422 |
Mailing Address: | 13401 184th St, LINWOOD |
State: | KS |
Postal Code: | 660524604 |
Phone Number: | 9138327925 |
Fax Number: | 9137233422 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1999138400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |