Provider Demographics
NPI:1881011690
Name:SANDHU, REETI MANREET (AUD)
Entity Type:Individual
Prefix:DR
First Name:REETI
Middle Name:MANREET
Last Name:SANDHU
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:REETI
Other - Middle Name:MANREET
Other - Last Name:KOONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:B432
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2571
Mailing Address - Country:US
Mailing Address - Phone:972-566-8300
Mailing Address - Fax:972-566-8004
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:B432
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-8300
Practice Address - Fax:972-566-8004
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01267231H00000X
DCAUD000108231H00000X
TX80808231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist