Provider Demographics
NPI:1013005198
Name:ALBERTS, RENEE PEARL (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:PEARL
Last Name:ALBERTS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12918 REEDY CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8753
Mailing Address - Country:US
Mailing Address - Phone:317-873-3848
Mailing Address - Fax:
Practice Address - Street 1:12918 REEDY CT
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8753
Practice Address - Country:US
Practice Address - Phone:317-873-3848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003997A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist