Healthcare Provider Details

I. General information

NPI: 1912864844
Provider Name (Legal Business Name): JENNA REICH SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N HOMER ST
LANSING MI
48912-4903
US

IV. Provider business mailing address

1000 N HOMER ST
LANSING MI
48912-4903
US

V. Phone/Fax

Practice location:
  • Phone: 517-993-5815
  • Fax: 517-394-7716
Mailing address:
  • Phone: 517-993-5815
  • Fax: 517-394-7716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001337
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: