Provider Demographics
NPI:1922776673
Name:REINHARD, JENNIFER (MCD, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:REINHARD
Suffix:
Gender:F
Credentials:MCD, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 FM 1339
Mailing Address - Street 2:
Mailing Address - City:KINGSBURY
Mailing Address - State:TX
Mailing Address - Zip Code:78638-1122
Mailing Address - Country:US
Mailing Address - Phone:972-977-0755
Mailing Address - Fax:
Practice Address - Street 1:6450 N STATE HIGHWAY 123
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-0355
Practice Address - Country:US
Practice Address - Phone:830-372-1930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist