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General NPI Number Information
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NPI Number | 1659267540
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Entity Type | Individual
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Provider Name | MONICA REYES
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1505 W KOENIG LN
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City | AUSTIN
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State | TX
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Zip | 78756-1415
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Country | US
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Telephone | 512-480-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 N A W GRIMES BLVD APT 3301
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City | ROUND ROCK
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State | TX
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Zip | 78665-2754
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Country | US
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Telephone | 210-788-3167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 122574
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License Number State | TX
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