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Contact Information

KATHERYN REAGAN, CCC-SLP
3801 SCHROER ROAD
VALDOSTA, GA31605
 Phone: 229-244-3552
 Fax: 229-244-7030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KATHERYN REAGAN · (Female)

NPI Number 1306990072
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 01/22/2007
Last updated 07/17/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 005367
  • GA Medicaid 212833316B
  • GA Other 52171814 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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