Individual
AMY CATHERINE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC, SLP
Contact information
Practice address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
Mailing address
1001 NW 104TH AVE, PLANTATION, FL 33322-6588
(954) 382-9642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA7235
LICENSE NUMBER
FL
Enumeration date
12/09/2006
Last updated
07/08/2007
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