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NPI Code Detail

MEDICARE: WHITNEY REICH MA, CCC-SLP

MEDICARE: WHITNEY REICH MA, 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1497302673
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY REICH MA, CCC-SLP
Provider Business Mailing Address
First Line : 100 LAKE POWELL DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-2107
Country : US
Telephone Number : 318-348-7904
Fax Number :
Provider Business Practice Location Address
First Line : 1616 WELLERMAN RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-7427
Country : US
Telephone Number : 318-387-2577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 08/22/2019

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Directions to “ WHITNEY REICH MA, CCC-SLP” Practice Location

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