Provider Demographics
NPI:1679263743
Name:REECE, JOCELYN K (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:K
Last Name:REECE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 TACOMA TRL
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-4471
Mailing Address - Country:US
Mailing Address - Phone:330-787-1004
Mailing Address - Fax:
Practice Address - Street 1:605 TACOMA TRL
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-4471
Practice Address - Country:US
Practice Address - Phone:330-787-1004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6925235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist