Healthcare Provider Details

I. General information

NPI: 1972711778
Provider Name (Legal Business Name): CYNTHIA SUE REED SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 CAMINO DEL RIO STE 221
DURANGO CO
81301-5466
US

IV. Provider business mailing address

1974 E STONERIDGE DR
SPRINGFIELD MO
65803-4892
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-3261
  • Fax:
Mailing address:
  • Phone: 573-774-6456
  • Fax: 573-774-6778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0005503
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: