Provider Demographics
NPI:1013214212
Name:STEVEN D REID PA
Entity Type:Organization
Organization Name:STEVEN D REID PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-733-4390
Mailing Address - Street 1:7909 VENTURE CENTER WAY
Mailing Address - Street 2:SUITE 9304
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7427
Mailing Address - Country:US
Mailing Address - Phone:561-733-4390
Mailing Address - Fax:
Practice Address - Street 1:7909 VENTURE CENTER WAY
Practice Address - Street 2:SUITE 9304
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7427
Practice Address - Country:US
Practice Address - Phone:561-733-4390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty