Lawanda Reese in Ellenwood - Speech-language Pathologist
Lawanda Reese - NPI 1790848901
Lawanda Reese is a Speech-language Pathologist in Ellenwood, Georgia. Lawanda Reese practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lawanda Reese is 1790848901. The last update date is 2007-07-09.
Lawanda Reese's current location address is 4482 S River Cv, Ellenwood, Georgia. You can contact this provider via phone number 6784389036 and fax number 4043813043. The mailing address for Lawanda Reese is 4482 S River Cv, Ellenwood, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawanda Reese |
|---|---|
| Address | 4482 S River Cv, Ellenwood, Georgia |
| Phone Number | 6784389036 |
| Fax Number | 4043813043 |
| Sole Proprietor | Y |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1790848901 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4482 S River Cv |
|---|---|
| City | Ellenwood |
| State | Georgia (GA) |
| Post Code | 302943281 |
| Phone Number | 6784389036 |
| Fax Number | 4043813043 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP005435 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00972573A | GA | -- |
Post Comment/ Review Below
What is the Lawanda Reese's 1790848901?
The Lawanda Reese's NPI (National Provider Identifier) Number is 1790848901. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lawanda Reese is physically located?
The Lawanda Reese is situated at the following address: 4482 S River Cv, Ellenwood, GA 302943281.
What is Lawanda Reese's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lawanda Reese's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date was the 1790848901 assigned to Lawanda Reese?
The Lawanda Reese was issued its 1790848901 on 2006-12-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lawanda Reese's details last updated?
The information pertaining to the Lawanda Reese, including its address, specialty, and other details, was most recently updated on 2007-07-09.