Donna Elizabeth Reynolds, M.A.

Individual provider Active NPI Speech-Language Pathologist · Christoval, TX

NPI 1730890997 · NPPES record last updated Dec 8, 2022

Key facts

NPI
1730890997
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
01002842
Practice address
4637 Moore Rd.
Christoval, TX 76935-7693
Phone
(325) 650-2991
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100637TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100637 TX
Speech-Language Pathologist 235Z00000X 01002842 Yes

Addresses

Primary practice location

4637 Moore Rd.
Christoval, TX 76935-7693

Mailing address

PO Box 153
Christoval, TX 76935-0153
Phone (325) 650-2991

Other identifiers

IdentifierTypeStateIssuer
01002842OtherAMERICAN SPEECH AND HEARING ASSOCIATION

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL pdf Direct

Other providers in Christoval, TX

All providers in Christoval, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.