Individual
LANNI KATHERYN REISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009249
VA
235Z00000X
Speech-Language Pathologist
25561
CA
235Z00000X
Speech-Language Pathologist
TSLP8147
AZ
Other
Enumeration date
07/26/2013
Last updated
07/31/2020
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