Patricia E. Reiss, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Linwood, KS
NPI 1891996146 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891996146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1739 (KS)
- Practice address
- 13401 184TH St
Linwood, KS 66052-4604 - Phone
- (913) 832-7925
- Fax
- (913) 723-3422
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1739 | KS | MD | Speech-Language Pathologist |
| 1999138400 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Therapy Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1739 | KS | Yes |
| Speech-Language Pathologist | 235Z00000X | 1999138400 | MO |
Addresses
Primary practice location
13401 184TH St
Linwood, KS 66052-4604
Mailing address
13401 184TH St
Linwood, KS 66052-4604
Phone (913) 832-7925
Other providers in Linwood, KS
All providers in Linwood, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.