MEDICARE: ADRIANA REYES

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	9610	TN

General Provider Information

NPI Number	:	1871427435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA REYES

Provider Business Mailing Address
First Line	:	158 MELBOURNE DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-1586
Country	:	US
Telephone Number	:	931-542-2168
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 PROFESSIONAL PARK DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-5257
Country	:	US
Telephone Number	:	931-542-2168
Fax Number	:

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ ADRIANA REYES ” Practice Location

Language	Start Address	Practice Location

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