Provider Demographics
NPI:1467804351
Name:REAP, ANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:REAP
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W PUTNAM AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6086
Mailing Address - Country:US
Mailing Address - Phone:203-542-7323
Mailing Address - Fax:203-542-7701
Practice Address - Street 1:500 W PUTNAM AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6086
Practice Address - Country:US
Practice Address - Phone:203-542-7323
Practice Address - Fax:203-542-7701
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000229231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist