MEDICARE: NATALIE REESE

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	SP#3326	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1386011377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE REESE

Provider Business Mailing Address
First Line	:	610 W GRAND AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-3922
Country	:	US
Telephone Number	:	501-625-7800
Fax Number	:	501-325-2727

Provider Business Practice Location Address
First Line	:	610 W GRAND AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-3922
Country	:	US
Telephone Number	:	501-625-7800
Fax Number	:	501-325-2727

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

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	06/06/2022

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Directions to “ NATALIE REESE ” Practice Location

Language	Start Address	Practice Location

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