Provider Demographics
NPI:1245648211
Name:REINHOLZ, DARLENE (SLP)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:REINHOLZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:GATES MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44040-0099
Mailing Address - Country:US
Mailing Address - Phone:440-423-0206
Mailing Address - Fax:
Practice Address - Street 1:45125 FAIRMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4047
Practice Address - Country:US
Practice Address - Phone:440-423-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.10556235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist