Individual
MRS. JULIA DIONNE REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
322 OLD STATE RD, ELLISVILLE, MO 63021-5917
(636) 449-1668
Mailing address
832 KEVIN DR, WENTZVILLE, MO 63385-6887
(636) 327-4166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117121
MO
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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