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NPI Code Detail

MEDICARE: AMY J RIESE MS CCC - SLP

MEDICARE: AMY J RIESE 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
1235Z00000XSpeech-Language Pathologist1431-154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730120932
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY J RIESE MS CCC - SLP
Provider Business Mailing Address
First Line : 10000 W COLONIAL DR STE 381
Second Line :
City : OCOEE
State : FL
Zip : 34761-3435
Country : US
Telephone Number : 407-296-1900
Fax Number : 321-843-8771
Provider Business Practice Location Address
First Line : 10000 W COLONIAL DR STE 381
Second Line :
City : OCOEE
State : FL
Zip : 34761-3435
Country : US
Telephone Number : 407-296-1900
Fax Number : 321-843-8771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/09/2026

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Directions to “ AMY J RIESE MS CCC - SLP” Practice Location

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