MEDICARE: JESSICA REYES 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	SL012688	PA

General Provider Information

NPI Number	:	1265382931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA REYES M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	410 SERPENTINE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-2056
Country	:	US
Telephone Number	:	412-849-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 SERPENTINE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15243-2056
Country	:	US
Telephone Number	:	412-849-8220
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ JESSICA REYES M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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