Individual
CHRISTINE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3590 N US HIGHWAY 17/92, SUITE 1038, LAKE MARY, FL 32746-4510
(407) 322-6222
(407) 322-5596
Mailing address
1477 HYDE PARK DR, WINTER PARK, FL 32792-8145
(407) 760-8988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989997 00
—
FL
01
—
SA 8666
SPEECH LANGUAGE PATHOLOGY
FL
Enumeration date
08/09/2006
Last updated
01/24/2011
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