Individual
HEATHER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 FLORIDA AVE, CAROLINA BEACH, NC 28428-5802
(252) 633-6770
(877) 335-6220
Mailing address
105 FLORIDA AVE, CAROLINA BEACH, NC 28428-5802
(252) 633-6770
(877) 335-6220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10808
NC
Other
Enumeration date
06/11/2014
Last updated
03/26/2019
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