Provider Demographics
NPI:1477750792
Name:REINHARTSEN, DEBRA BAILEY (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:BAILEY
Last Name:REINHARTSEN
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9319 COACHWAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-5844
Mailing Address - Country:US
Mailing Address - Phone:919-968-7649
Mailing Address - Fax:
Practice Address - Street 1:1450 RALEIGH ROAD
Practice Address - Street 2:CENTER FOR DEVELOPMENT AND LEARNING, SUITE 100
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-966-4138
Practice Address - Fax:919-966-2230
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4991235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist