Provider Demographics
NPI:1851745178
Name:REESE, WHITNEY ANN (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ANN
Last Name:REESE
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 STOKES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6537
Mailing Address - Country:US
Mailing Address - Phone:336-513-4250
Mailing Address - Fax:336-570-0642
Practice Address - Street 1:919 STOKES ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6537
Practice Address - Country:US
Practice Address - Phone:336-513-4250
Practice Address - Fax:336-570-0642
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23907235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist