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NPI Code Detail

MEDICARE: MRS. WALESCA REYES SLP

MEDICARE: MRS. WALESCA REYES 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 Pathologist9312SC

General Provider Information

NPI Number : 1518276898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WALESCA REYES SLP
Provider Business Mailing Address
First Line : 1050 OLD GILLIARD RD APT 117
Second Line :
City : RIDGEVILLE
State : SC
Zip : 29472-7448
Country : US
Telephone Number : 201-951-6610
Fax Number :
Provider Business Practice Location Address
First Line : 4105 FABER PLACE DR STE 420
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8594
Country : US
Telephone Number : 843-894-7374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 06/18/2026

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Directions to “ MRS. WALESCA REYES SLP” Practice Location

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