MEDICARE: MRS. AMY KATHLEEN REEVES MS, 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	17959	CA

General Provider Information

NPI Number	:	1477834869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY KATHLEEN REEVES MS, CCC-SLP

Provider Business Mailing Address
First Line	:	4257 HEATHER RD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1627
Country	:	US
Telephone Number	:	310-953-8003
Fax Number	:

Provider Business Practice Location Address
First Line	:	3722 KATELLA AVE STE C
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3102
Country	:	US
Telephone Number	:	562-270-2970
Fax Number	:	562-685-0621

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

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	01/23/2026

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Directions to “ MRS. AMY KATHLEEN REEVES MS, CCC-SLP” Practice Location

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