Individual
MS. JESSICA B REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
750 E HIGHWAY 22, CENTRALIA, MO 65240-1146
(573) 682-3015
(573) 682-3015
Mailing address
750 E HIGHWAY 22, CENTRALIA, MO 65240-1146
(573) 682-3015
(573) 682-3015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004020295
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469269310
—
MO
Enumeration date
02/22/2007
Last updated
09/19/2012
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