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NPI Code Detail

MEDICARE: REANNA WEBB

MEDICARE: REANNA WEBB
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
12355S0801XSpeech-Language AssistantSLPA9555AZ

General Provider Information

NPI Number : 1649823063
Entity Type Code : Individual
Provider Name (Legal Business Name) : REANNA WEBB
Provider Business Mailing Address
First Line : 4045 E UNION HILLS DR STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3389
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4045 E UNION HILLS DR STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3389
Country : US
Telephone Number : 602-485-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ REANNA WEBB ” Practice Location

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