Provider Demographics
NPI:1740519362
Name:REID, SUMMER (SLPD, CCC-SLP,CLC)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:
Last Name:REID
Suffix:
Gender:
Credentials:SLPD, CCC-SLP,CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WATERLOO CV
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2177
Mailing Address - Country:US
Mailing Address - Phone:713-364-3578
Mailing Address - Fax:
Practice Address - Street 1:124 WATERLOO CV
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2177
Practice Address - Country:US
Practice Address - Phone:713-364-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX106848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist