Provider Demographics
NPI:1851048243
Name:REELS, ERIC JOSEPH-EDWARD (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JOSEPH-EDWARD
Last Name:REELS
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 NEW LONDON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-2827
Mailing Address - Country:US
Mailing Address - Phone:401-282-9417
Mailing Address - Fax:
Practice Address - Street 1:154 NEW LONDON AVE
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-2827
Practice Address - Country:US
Practice Address - Phone:401-282-9417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP01561235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist