Individual
MICAH REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1250 NE LINCOLN RD, POULSBO, WA 98370
(800) 967-4667
(866) 273-4090
Mailing address
1250 NE LINCOLN RD, POULSBO, WA 98370
(800) 967-4667
(866) 273-4090
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
105011
TX
235Z00000X
Speech-Language Pathologist
Primary
105011
TX
Other
Enumeration date
06/09/2009
Last updated
02/16/2023
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