Individual
MRS. TABITHA JEAN REUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1301 W 1ST ST, SIOUX CITY, IA 51103-3508
(712) 560-4838
(712) 560-3902
Mailing address
1301 W 1ST ST, SIOUX CITY, IA 51103-3508
(712) 560-4838
(712) 560-3902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001887
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264591-00
—
NE
05
—
100264593-00
—
NE
05
—
100264595-00
—
NE
05
—
1503487
—
IA
Enumeration date
10/01/2010
Last updated
11/17/2015
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