Provider Demographics
NPI:1245471531
Name:REEVE, ANNA (MS CCC - SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:REEVE
Suffix:
Gender:F
Credentials:MS CCC - SLP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15174 CLEMSON AVE
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-5658
Mailing Address - Country:US
Mailing Address - Phone:208-941-9448
Mailing Address - Fax:
Practice Address - Street 1:4 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5721
Practice Address - Country:US
Practice Address - Phone:228-818-1207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist