Provider Demographics
NPI:1780829598
Name:REICH, ELIZABETH KANE (MS-SLP/CCC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KANE
Last Name:REICH
Suffix:
Gender:F
Credentials:MS-SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PRINCETON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2430
Mailing Address - Country:US
Mailing Address - Phone:516-678-2324
Mailing Address - Fax:
Practice Address - Street 1:35 PRINCETON STREET
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-678-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008267-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist