Individual
ELENA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2836 W BOWKER ST, PHOENIX, AZ 85041-3472
(602) 689-5891
Mailing address
2836 W BOWKER ST, PHOENIX, AZ 85041-3472
(602) 689-5891
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13763
AZ
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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