Reagan, Katheryn

Reagan, Katheryn is an individual health care provider with primary practice located at 3801 Schroer Road , Valdosta GA 31605. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Reagan, Katheryn can be contacted via phone (229) 244-3552.

Contact Information

Primary practice address
3801 Schroer Road Valdosta GA 31605
Phone: (229) 244-3552
Fax: (229) 244-7030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005367 Georgia

Profile Details

NPI number 1306990072
LBN Legal business name Reagan, Katheryn
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306990072 NPPES
Georgia Other 52171814 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 212833316B BLUE CROSS BLUE SHIELD

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