Provider Demographics
NPI:1780744789
Name:HEARING SPEECH PATHOLOGY AND READING CENTER INC
Entity type:Organization
Organization Name:HEARING SPEECH PATHOLOGY AND READING CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-A
Authorized Official - Phone:775-825-3331
Mailing Address - Street 1:1698 MEADOW WOOD LN
Mailing Address - Street 2:150
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6510
Mailing Address - Country:US
Mailing Address - Phone:775-825-3331
Mailing Address - Fax:775-825-6012
Practice Address - Street 1:1698 MEADOW WOOD LN
Practice Address - Street 2:150
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6510
Practice Address - Country:US
Practice Address - Phone:775-825-3331
Practice Address - Fax:775-825-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-053231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty