Healthcare Provider Details

I. General information

NPI: 1780744789
Provider Name (Legal Business Name): HEARING SPEECH PATHOLOGY AND READING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1698 MEADOW WOOD LN 150
RENO NV
89502-6510
US

IV. Provider business mailing address

1698 MEADOW WOOD LN 150
RENO NV
89502-6510
US

V. Phone/Fax

Practice location:
  • Phone: 775-825-3331
  • Fax: 775-825-6012
Mailing address:
  • Phone: 775-825-3331
  • Fax: 775-825-6012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-053
License Number StateNV

VIII. Authorized Official

Name: MRS. PATRICIA A CUNNINGHAM
Title or Position: OWNER
Credential: M.A CCC-A
Phone: 775-825-3331