Reeves, Iris Susan

Reeves, Iris Susan is an individual health care provider with primary practice located at 105 Westland St , San Angelo TX 76901-3051. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Reeves, Iris Susan can be contacted via phone (325) 340-4020.

Contact Information

Primary practice address
105 Westland St San Angelo TX 76901-3051
Phone: (325) 340-4020
Fax: (325) 617-7809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5524 New Mexico
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10764 Texas

Profile Details

NPI number 1952479040
LBN Legal business name Reeves, Iris Susan
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 31st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952479040 NPPES
Texas MEDICAID 004958702

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