Individual
CYNTHIA REAGAN RIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 INWOOD CIR, AUSTIN, TX 78746-4643
(512) 784-4881
Mailing address
PO BOX 5068, AUSTIN, TX 78763-5068
(512) 784-4881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103928
TX
235Z00000X
Speech-Language Pathologist
3115
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062490A
—
OK
Enumeration date
02/27/2007
Last updated
02/04/2009
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