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NPI Code Detail

MEDICARE: RAKEESHA R REEVES M.A., CFY-SLP

MEDICARE: RAKEESHA R REEVES M.A., CFY-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1356351415
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAKEESHA R REEVES M.A., CFY-SLP
Provider Business Mailing Address
First Line : 11875 W MCDOWELL RD APT 1153
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-3104
Country : US
Telephone Number : 623-455-9261
Fax Number :
Provider Business Practice Location Address
First Line : 9261 W VAN BUREN ST
Second Line :
City : TOLLESON
State : AZ
Zip : 85353-2941
Country : US
Telephone Number : 623-907-5270
Fax Number : 623-907-5271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/08/2007

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Directions to “ RAKEESHA R REEVES M.A., CFY-SLP” Practice Location

Language Start Address Practice Location
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