Provider Demographics
NPI:1770705576
Name:REID, NORA EDITH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:EDITH
Last Name:REID
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S. PEARL ST.
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-2214
Mailing Address - Country:US
Mailing Address - Phone:715-425-2084
Mailing Address - Fax:715-425-8950
Practice Address - Street 1:W10356 HWY 29
Practice Address - Street 2:
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022
Practice Address - Country:US
Practice Address - Phone:715-425-7754
Practice Address - Fax:715-425-8950
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2433-154235Z00000X
MN7504235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist