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NPI Code Detail

MEDICARE: MS. KATIE REED CCC SLP

MEDICARE:  MS. KATIE  REED  CCC 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 PathologistSA8870FL

Other Identifiers

General Provider Information

NPI Number : 1912072760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATIE REED CCC SLP
Provider Business Mailing Address
First Line : 1240 MARBELLA PLAZA DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-7906
Country : US
Telephone Number : 813-341-2726
Fax Number : 813-341-2755
Provider Business Practice Location Address
First Line : 1240 MARBELLA PLAZA DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-7906
Country : US
Telephone Number : 813-341-2726
Fax Number : 813-341-2755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 09/20/2019

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