Provider Demographics
NPI:1689829806
Name:READING THERAPY CENTER,INC
Entity Type:Organization
Organization Name:READING THERAPY CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:320-214-7011
Mailing Address - Street 1:615 BECKER AVE SW
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3233
Mailing Address - Country:US
Mailing Address - Phone:320-214-7011
Mailing Address - Fax:320-235-1092
Practice Address - Street 1:615 BECKER AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3233
Practice Address - Country:US
Practice Address - Phone:320-214-7011
Practice Address - Fax:320-235-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNMN5710235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty