Provider Demographics
NPI:1710394713
Name:BUEHLER, REANNA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:REANNA
Middle Name:
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:REANNA
Other - Middle Name:
Other - Last Name:HUTHMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:298 E 5TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-2353
Mailing Address - Country:US
Mailing Address - Phone:570-317-2999
Mailing Address - Fax:
Practice Address - Street 1:298 E 5TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-2353
Practice Address - Country:US
Practice Address - Phone:570-317-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010382235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist