Provider Demographics
NPI:1932418191
Name:REINHARD, KRISTEL MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KRISTEL
Middle Name:MARIE
Last Name:REINHARD
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 1:2655 FALCON ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5342
Mailing Address - Country:US
Mailing Address - Phone:516-781-8535
Mailing Address - Fax:
Practice Address - Street 1:2655 FALCON ST
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5342
Practice Address - Country:US
Practice Address - Phone:516-781-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018353235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist