Individual
MRS. DONNA FARLER REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
Mailing address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01083363
ASHA
—
01
—
0777Y
BCBS
NC
01
—
3040
NC BOARD OF EXAMINERS FOR
NC
05
—
720777Y
—
NC
Enumeration date
07/26/2007
Last updated
07/26/2007
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