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NPI Code Detail

MEDICARE: VANESSA CELESTE REYES

MEDICARE:   VANESSA CELESTE REYES
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 PathologistSP00280-PRI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP00280-POTHERRISLP

General Provider Information

NPI Number : 1790118594
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA CELESTE REYES
Provider Business Mailing Address
First Line : 38 SALEM DR
Second Line :
City : NORTH PROVIDENCE
State : RI
Zip : 02904-5217
Country : US
Telephone Number : 401-574-6496
Fax Number :
Provider Business Practice Location Address
First Line : 38 SALEM DR
Second Line :
City : NORTH PROVIDENCE
State : RI
Zip : 02904-5217
Country : US
Telephone Number : 401-574-6496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 01/22/2026

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Directions to “ VANESSA CELESTE REYES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.