Provider Demographics
NPI:1770391237
Name:REED, ANNA RILEY (MCD SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:RILEY
Last Name:REED
Suffix:
Gender:F
Credentials:MCD SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 COX CV
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-8538
Mailing Address - Country:US
Mailing Address - Phone:870-692-1185
Mailing Address - Fax:
Practice Address - Street 1:411 LENTZ RD
Practice Address - Street 2:
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-3740
Practice Address - Country:US
Practice Address - Phone:501-354-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR202982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist