Individual
MRS. LORI REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Mailing address
3153 NIAGARA WAY, VIRGINIA BEACH, VA 23456-7629
(757) 374-3816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
01
—
3062
OPTIMA
VA
Enumeration date
04/23/2007
Last updated
06/20/2011
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