Healthcare Provider Details

I. General information

NPI: 1235075482
Provider Name (Legal Business Name): SHERRY REYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 2ND ST
BUELLTON CA
93427-6801
US

IV. Provider business mailing address

PO BOX 6307
SANTA BARBARA CA
93160-6307
US

V. Phone/Fax

Practice location:
  • Phone: 805-688-6992
  • Fax:
Mailing address:
  • Phone: 805-964-4711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP8851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: