Provider Demographics
NPI:1700199197
Name:REIGEL, LORRAINE ANN (SLP)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:ANN
Last Name:REIGEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LORRAINE
Other - Middle Name:ANN
Other - Last Name:SEBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1218 N DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-5054
Mailing Address - Country:US
Mailing Address - Phone:208-255-7337
Mailing Address - Fax:
Practice Address - Street 1:1218 N DIVISION AVE
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-5054
Practice Address - Country:US
Practice Address - Phone:208-255-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist