Reavis, Kelly Marie
Reavis, Kelly Marie is an individual health care provider with primary practice located at 5842 E Naples Plz , Long Beach CA 90803-5039. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Reavis, Kelly Marie can be contacted via phone (562) 439-9539.Contact Information
Primary practice address
5842 E Naples Plz
Long Beach CA 90803-5039
Phone: (562) 439-9539
Fax: (562) 439-2232
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU2627 | California |
Profile Details
NPI number | 1467618991 |
---|---|
LBN Legal business name | Reavis, Kelly Marie |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2008 |
Last updated | Aug 4th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467618991 | NPPES |
California | Other | 2627 | AUDIOLOGIST LICENSE |
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