Reagan F Lucas, MSCCC SLP
Individual provider Active NPI Speech-Language Pathologist · Riverside, OH
NPI 1124194899 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1124194899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP 8378 (OH)
- Practice address
- 801 Old Harshman Rd
Riverside, OH 45431-1238 - Phone
- (937) 237-4270
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 8378 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mad River Local Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 8378 | OH | Yes |
Addresses
Primary practice location
801 Old Harshman Rd
Riverside, OH 45431-1238
Mailing address
801 Old Harshman Rd
Riverside, OH 45431-1238
Phone (937) 237-4270
Other providers in Riverside, OH
- Christy Howell-Deaton
- Amy M Kahre
- Mary Knost
- Ciara H Lee
- Rachel Lewis
- Sherri Mackenzie
- Judy Marrinan
- Haven Martin
- Amy Mattfield
- Lindsey McGlinch
All providers in Riverside, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.