MEDICARE: NORA A REEDY M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3105-154	WI
2	235Z00000X	Speech-Language Pathologist	SLP7785	AZ

General Provider Information

NPI Number	:	1164650941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA A REEDY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1004 E MORGAN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-3513
Country	:	US
Telephone Number	:	414-333-7792
Fax Number	:

Provider Business Practice Location Address
First Line	:	8551 N ORACLE RD # 102
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-6503
Country	:	US
Telephone Number	:	414-333-7792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	08/02/2012

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Directions to “ NORA A REEDY M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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