Provider Demographics
NPI:1659763126
Name:HILL, REANNA ELIZABETH
Entity Type:Individual
Prefix:
First Name:REANNA
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16235 DEVONSHIRE ST UNIT 48
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6956
Mailing Address - Country:US
Mailing Address - Phone:818-322-9459
Mailing Address - Fax:
Practice Address - Street 1:23734 VALENCIA BLVD STE 304
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5369
Practice Address - Country:US
Practice Address - Phone:818-322-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA29612355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant