Provider Demographics
NPI:1184859605
Name:REED, PAULA LOUISE (MACCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:LOUISE
Last Name:REED
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 WATER OAK CT
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2336
Mailing Address - Country:US
Mailing Address - Phone:972-241-2046
Mailing Address - Fax:972-241-5013
Practice Address - Street 1:3306 WATER OAK CT
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2336
Practice Address - Country:US
Practice Address - Phone:972-241-2046
Practice Address - Fax:972-241-5013
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10250235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist