Provider Demographics
NPI:1396997177
Name:REITZ, PATRICIA SCHRODT (CCC/A)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SCHRODT
Last Name:REITZ
Suffix:
Gender:F
Credentials:CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPT OF SPEECH AND AUDIOLOGY
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-843-0425
Mailing Address - Fax:919-966-8690
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:G0303 NEUROSCIENCES, DEPT OF AUDIOLOGY AND SPEECH PATH
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-843-0425
Practice Address - Fax:919-966-8690
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5276231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist