Provider Demographics
NPI:1083186001
Name:REICHHARDT, ROBERT (MA CCC-SLP, BCS-F)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:REICHHARDT
Suffix:
Gender:M
Credentials:MA CCC-SLP, BCS-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 TIMBER TRL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1651
Mailing Address - Country:US
Mailing Address - Phone:513-608-8508
Mailing Address - Fax:
Practice Address - Street 1:930 TIMBER TRL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1651
Practice Address - Country:US
Practice Address - Phone:513-608-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist