Provider Demographics
NPI:1528587086
Name:RENO, EMILY ANNE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:RENO
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 E PARADISE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6684
Mailing Address - Country:US
Mailing Address - Phone:520-232-6822
Mailing Address - Fax:
Practice Address - Street 1:3950 E PARADISE FALLS DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6684
Practice Address - Country:US
Practice Address - Phone:520-232-6822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP10713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist