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NPI Code Detail

MEDICARE: JENNIFER LYNN REED

MEDICARE:   JENNIFER LYNN REED
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 Pathologist

General Provider Information

NPI Number : 1881524361
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN REED
Provider Business Mailing Address
First Line : 611 W MAIN ST
Second Line :
City : WATERFORD
State : WI
Zip : 53185-4100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 W MAIN ST
Second Line :
City : WATERFORD
State : WI
Zip : 53185-4100
Country : US
Telephone Number : 262-514-8230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ JENNIFER LYNN REED ” Practice Location

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