Individual
FLORENCE REZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
625 N. UNION STREET, KOKOMO, IN 46901-2907
(765) 454-9748
(765) 450-6664
Mailing address
700 E. FIRMIN STREET, SUITE 209, KOKOMO, IN 46902-2375
(765) 454-9748
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200651530
—
IN
Enumeration date
10/17/2014
Last updated
11/25/2014
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