Individual
MR. GARY WAYNE REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP-CCC
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
188 SAWMILL RD, HUNTSVILLE, AL 35811-8506
(205) 942-6820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1706
AL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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