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Individual

MISS JOY REYNHOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP

Contact information

Practice address
9 LACRUE STREET, SUITE 210, CONCORDVILLE, PA 19331
(800) 578-7906
Mailing address
9 LACRUE STREET, SUITE 210, CONCORDVILLE, PA 19331
(800) 578-7906

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005681
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
967647861B
GA
Enumeration date
05/22/2007
Last updated
07/08/2007
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