Provider Demographics
NPI:1164650941
Name:REEDY, NORA A (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:A
Last Name:REEDY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-3513
Mailing Address - Country:US
Mailing Address - Phone:414-333-7792
Mailing Address - Fax:
Practice Address - Street 1:8551 N ORACLE RD # 102
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6503
Practice Address - Country:US
Practice Address - Phone:414-333-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3105-154235Z00000X
AZSLP7785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist