Provider Demographics
NPI:1821272055
Name:REYMANN, JOAN (CCC SP/L)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:REYMANN
Suffix:
Gender:F
Credentials:CCC SP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8033 NW 127TH LN
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4915
Mailing Address - Country:US
Mailing Address - Phone:954-993-3535
Mailing Address - Fax:
Practice Address - Street 1:8033 NW 127TH LN
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4915
Practice Address - Country:US
Practice Address - Phone:954-993-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5174235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist