MEDICARE: CARRIE LYNN REIMER M.A., 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	01097517	MI

General Provider Information

NPI Number	:	1598077786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE LYNN REIMER M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	5395 KASEMEYER RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3140
Country	:	US
Telephone Number	:	989-684-3587
Fax Number	:	989-684-3958

Provider Business Practice Location Address
First Line	:	5395 KASEMEYER RD
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3140
Country	:	US
Telephone Number	:	989-684-3587
Fax Number	:	989-684-3587

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

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	07/05/2010

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Directions to “ CARRIE LYNN REIMER M.A., CCC-SLP” Practice Location

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