Healthcare Provider Details

I. General information

NPI: 1558592626
Provider Name (Legal Business Name): PATRICIA THOMPSON REIMER MA/CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2133 HOSPITAL ST
CHRISTIANSTED VI
00820-4609
US

IV. Provider business mailing address

3052 ESTATE LITTLE PRINCESS
CHRISTIANSTED VI
00820-3800
US

V. Phone/Fax

Practice location:
  • Phone: 340-773-7997
  • Fax: 340-773-4640
Mailing address:
  • Phone: 340-277-4727
  • Fax: 340-773-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3568
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: