Dorathea Lorraine Reynolds

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP14984 Issued in AZ

Practice address

3535 S Basha Rd
Chandler, AZ 85248-4901

Phone

(602) 578-3932

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1366803330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 S ACACIA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484106",
            "telephone_number": "602-578-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S BASHA RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484901",
            "telephone_number": "602-578-3932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7729 E Tardes Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554824",
            "country_code": "US",
            "telephone_number": "602-578-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DORATHEA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP14984",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Reyes
• Ivy Lopez Reyes
• Keith Brian Reyes, LPC, NCC
• Paulina Reyes
• Brittany Berniece Reynolds, FNP
• Katherine Elizabeth Reynolds, MSN, FNP-C, RN
• Troy Reynolds, D.P.T.
• Jessica Luz Reynoso, LMFT
• Nadia Reyyashi
• Sepideh Rezaei

• Speech-Language Pathologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.