Provider Demographics
NPI:1851980395
Name:REYES, VICTORIA ELIZABETH
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ELIZABETH
Last Name:REYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TELEMEDICINE SERVICES
Mailing Address - Street 2:1209 HILLWOOD CT SE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2659
Mailing Address - Country:US
Mailing Address - Phone:561-324-6061
Mailing Address - Fax:
Practice Address - Street 1:1209 HILLWOOD CT SE # 1209
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-2659
Practice Address - Country:US
Practice Address - Phone:954-284-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist