Provider Demographics
NPI:1558592626
Name:REIMER, PATRICIA THOMPSON (MA/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:THOMPSON
Last Name:REIMER
Suffix:
Gender:F
Credentials:MA/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 ESTATE LITTLE PRINCESS
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-3800
Mailing Address - Country:US
Mailing Address - Phone:340-277-4727
Mailing Address - Fax:340-773-4640
Practice Address - Street 1:2133 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4609
Practice Address - Country:US
Practice Address - Phone:340-773-7997
Practice Address - Fax:340-773-4640
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist