Individual
EMILY REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 898-4258
Mailing address
3341 JEWETT AVE, HIGHLAND, IN 46322-2010
(219) 576-3617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008742A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300088650
—
IN
Enumeration date
03/07/2023
Last updated
10/07/2024
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