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NPI Code Detail

MEDICARE: CATHLEEN M REIGLE AUD CCC-A

MEDICARE: CATHLEEN M REIGLE AUD CCC-A
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
1231H00000XAudiologist535-156WI
2231H00000XAudiologist80547TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184868127
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHLEEN M REIGLE AUD CCC-A
Provider Business Mailing Address
First Line : PO BOX 99213
Second Line :
City : FORT WORTH
State : TX
Zip : 76199-0213
Country : US
Telephone Number : 682-885-3622
Fax Number : 682-885-3936
Provider Business Practice Location Address
First Line : 1919 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1358
Country : US
Telephone Number : 682-885-4063
Fax Number : 682-885-1878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2009
Last Update Date : 01/05/2016

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1083098743 — DR. AMANDA LOVE AU.D., CCC-A
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Directions to “ CATHLEEN M REIGLE AUD CCC-A” Practice Location

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