Selina Marie Reyna
Individual provider Active NPI Speech-Language Pathologist · Poteet, TX
NPI 1972156941 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1972156941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 32730 (TX)
- Practice address
- 160 Broken Star TRL
Poteet, TX 78065-4343 - Phone
- (361) 227-9042
- NPI assigned
- Jul 18, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32730 | TX | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 32730 | TX | Yes |
Addresses
Primary practice location
160 Broken Star TRL
Poteet, TX 78065-4343
Mailing address
160 Broken Star TRL
Poteet, TX 78065-4343
Other practice location 1
160 Broken Star Trl
Poteet, TX 78065-4343
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Agelesslivinghh.com |
Other providers in Poteet, TX
- Angela Pena
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- Dayna Nicole Poorboy
- Poteet Manor Inc
- Poteet Nursing and Rehabilitation, LP
- Vanessa Salazar
- Latonya Shadowens
- Shady Shores of Poteet LLC
- Shelby May Behavior Consulting LLC
- Southern Smiles Poteet
All providers in Poteet, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. 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.