Individual
MRS. ELAINE F REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 201-1999
Mailing address
701 N ROBIN CT, GRIFFITH, IN 46319-3808
(219) 201-1999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146009227
IL
235Z00000X
Speech-Language Pathologist
Primary
22005286A
IN
Other
Enumeration date
12/11/2007
Last updated
05/20/2011
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