Individual
BRENDA S REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,CCC-SLP
Contact information
Practice address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7291
(229) 424-7122
Mailing address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7291
(229) 424-7122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3854
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00771845A
—
GA
Enumeration date
11/14/2006
Last updated
07/09/2007
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