Provider Demographics
NPI:1801028881
Name:REUS, JENNIFER SPRINGER (MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SPRINGER
Last Name:REUS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 WAVERLEY OAKS RD BLDG 3
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-8448
Mailing Address - Country:US
Mailing Address - Phone:718-894-6564
Mailing Address - Fax:781-893-5938
Practice Address - Street 1:411 WAVERLEY OAKS RD BLDG 3
Practice Address - Street 2:SUITE 305
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8448
Practice Address - Country:US
Practice Address - Phone:718-894-6564
Practice Address - Fax:781-893-5938
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist