Provider Demographics
NPI:1427566595
Name:REECE, SARAH (MA CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:REECE
Suffix:
Gender:M
Credentials:MA CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 FAIRLANE CT APT D
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-8280
Mailing Address - Country:US
Mailing Address - Phone:630-818-7317
Mailing Address - Fax:
Practice Address - Street 1:270 OXFORD LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1957
Practice Address - Country:US
Practice Address - Phone:630-818-7317
Practice Address - Fax:630-818-7317
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.004529235Z00000X
IL146014278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist