Individual
KERRI W REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W 27TH AVE, COVINGTON, LA 70433-1276
(985) 892-6204
Mailing address
1200 W 27TH AVE, COVINGTON, LA 70433-1276
(985) 892-6204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3623
LA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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