Individual
RAQUEL KEHAULANI REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 MAIN ST, COLORADO SPRINGS, CO 80911-1152
(719) 391-3050
Mailing address
1820 MAIN ST, COLORADO SPRINGS, CO 80911-1152
(719) 391-3050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12069016
MEDICARE
CO
05
—
12069016
—
CO
Enumeration date
03/22/2013
Last updated
11/26/2023
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