MEDICARE: VICTORIA REINHARDT

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1881188811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA REINHARDT

Provider Business Mailing Address
First Line	:	2713 SE I ST STE 5
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72712-0078
Country	:	US
Telephone Number	:	479-250-4355
Fax Number	:	479-553-7954

Provider Business Practice Location Address
First Line	:	2070 MCKENZIE RD
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-0747
Country	:	US
Telephone Number	:	479-750-7778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	06/12/2020

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Directions to “ VICTORIA REINHARDT ” Practice Location

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