Provider Demographics
NPI:1467120519
Name:REAVIS, ALEXA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ALEXA
Middle Name:
Last Name:REAVIS
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 1:2307 E FM 2369
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-1700
Mailing Address - Country:US
Mailing Address - Phone:830-591-4858
Mailing Address - Fax:
Practice Address - Street 1:129 GOLDBECK ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-5149
Practice Address - Country:US
Practice Address - Phone:830-591-4928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27317311235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist